I believe you mean you have epithelial basement membrane dystrophy, also known as map-dot-fingerprint. If this is not what you have please let me know. If this is what you have, I can empathize with you. This is a tough dystrophy to have as it causes lots of symptoms, essentially many of the symptoms people with Dry Eye Syndrome get. I dont think the strep urine infections and the eyes have a link at all. It seems your eyelids are getting swollen, and I am willing to bet this this blepharitis. Blepharitis is an infection of the lids and lashes. Common findings in someone with blepharitis can range from subtle collections of yellow colored debris or flakes on the lashes to not so subtle crusting, clumping on lashes, red eyelid borders with thickening of the lids and oil gland orifices. I am going to try to give you all the different things someone with your eye problems should be doing:
For the lids.....you should be doing the following:
The treatment consists of 3 things and must be done consistently for effective control and cure.
First, you take a a warm wash cloth or warm compress and lay it across your lids for 5 minutes (heat must be applied for 5 mins). This helps the oil glands get moving again and helps losen up the debris on the lashes.
Next you take some baby shampoo and mix it with water (50/50) and use a wash cloth to rub across and cleanse the skin and lashes. This helps remove the debris.
Last, you apply antibiotic ointment, like erythromycin ophthalmic ointment to the base of the lashes.
This regimen helps get rid of or control the infection in about 2 weeks. You may try this without the antibiotic ointment first, but may need to talk to your doctor for a prescription for the erythromycin ophthalmic ointment if your symptoms do not resolve fully.
For the MDF you should be doing the following:
frequent use of preservative free artificial tears such as Celluvisc by Refresh, we are talking every 1-2 hours
your doc should consider using Restasis which is cyclosporine and this will help you produce more tears
Muro 128 can be helpful but typically does not do a whole lot
For people with bad MDP and lots of surface irregularity, the option of corneal scraping or PTK (phototherapeutic keratectomy) should be considered. The first is a rather simple in office procedure where the most anterior layer of the cornea is scraped away with the hopes it heals more smoothly. The PTK is a lasik like laser procedure that lasers away the surface irregularity. Both of these can help reduce your MDF symptoms.
I wish you well, best of luck, please dont hesitate to reply me with any more concerns you may have, Dr. Stevens, Ophthalmologist