How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Stevens Your Own Question

Dr. Stevens
Dr. Stevens, Ophthalmologist
Category: Eye
Satisfied Customers: 1404
Experience:  Board Certified Ophthalmologist
8112280
Type Your Eye Question Here...
Dr. Stevens is online now
A new question is answered every 9 seconds

A friend of mine has a scratch on his cornea which isnt healing.

Customer Question

A friend of mine has a scratch on his cornea which isn't healing. We think he got the scratch during retina attachment surgery.Doctors have tried many things but scratch isn't healing. He had the retina surgery Dec 23, 09.
Submitted: 5 years ago.
Category: Eye
Expert:  Dr. Stevens replied 5 years ago.
Did he have a scleral buckle placed? how old is he? does he have diabetes? did he wear contact lenses before?
Customer: replied 5 years ago.
No scleral buckle, he's 76, no diabetes but he does have Lukemia which is in remission since Aug 2008. He takes the medicine Glevac. Doesn't wear contacts,
Expert:  Dr. Stevens replied 5 years ago.

Hello there

At this point, he has a non-healing ulcer. After retinal surgery, the most likely reason for a non-healing ulcer is something we call neurotropic keratopathy. This is a condition where the cornea heals very slowly due to nerves being affected during retinal surgery. He needs to be seen and evaluated by a good cornea specialist. He will need aggressive treatment using antibiotic ointments, addressing of any oil gland stasis, possible use of bandage contact lens. Dr. Stevens

Customer: replied 5 years ago.
so far they have given him antibiotic drops and a ointment, at different times. They sewed his eye lid half way across his eye and that part wear they sewed the lid the cornea scratch has healed. He's had the contact bandage and we have also a patch over his eye. Can you explain oil gland stasis. He has seen a cornea specialist but hasn't seem him while the lid was sewn shut. Thank you for any help you can give us.
Expert:  Dr. Stevens replied 5 years ago.

Hello

it seems the docs are thinking along the same lines......Here are a few more ideas I have....I would test his tear production which should be low.....I would consider restasis (cyclosporine) drops to help make more tears. Next, I would look at the lids, and if the meibomian glands are not draining properly, I would consider oral doxicycline. In fact heat packs being applied now will work almost as good as doxi without the side effects of that pill. This will help stabilize the tear film and hel pwith the dryness. One more thing is using punctal plugs in the lids to maintain the tears on the surface. I hope this helps give you some ideas. Dont be afraid to suggest these when he is visiting he doc, Dr. Stevens

Dr. Stevens, Ophthalmologist
Category: Eye
Satisfied Customers: 1404
Experience: Board Certified Ophthalmologist
Dr. Stevens and other Eye Specialists are ready to help you
Customer: replied 5 years ago.
Thank you for your help I really appreciate it. I' going to try and contact his doctor tomorrow with you ideas. Sandy
Expert:  Dr. Stevens replied 5 years ago.
Hope it heals soon....Regards
Customer: replied 5 years ago.
Hi, Thank you for all your help. Well after emailing you I got all the medical terms for my friends condition. I started googling and found some very interesting information.
I found this article thru Google. Treatment of neurotrophic keratopathy with nasal dilator strips By the British Journal of Ophthalmology.
We put the dilator strip on his eye to close the lid down and the rest of the scratch healed (in 7 days). If fact after the retina doctor last week on Wed he scheduled him for surgery again as his retina as it was detaching again. The second surgery was done by another doctor and after seeing him today for a post op said it was a success. I hope this article on the dilator strips will help other patients for you.
Expert:  Dr. Stevens replied 5 years ago.
Thank you, XXXXX XXXXX glad he is healing well.
Customer: replied 5 years ago.
I forgot to mention we used the sml/med clear dilator strips and trimmed half the ends off and clipped the corners off so they wouldn't poke
Expert:  Dr. Stevens replied 5 years ago.
thank you...

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 
Chat Now With An Eye Doctor
Dr. Stevens
Dr. Stevens
MD, Licensed in California
629 Satisfied Customers
Board Certified Ophthalmologist