Ask an Eye Doctor and Get an Answer ASAP
Hi I'm Dr. JP. I'm here to try and help you. However it will be very difficult without having performed an eye examination. If you happen to have your previous eye doctors note that would be helpful. Here are some questions.
1. how long have you had this headache (1wk, 1mo etc)?
2. are there period without headache pain?
3. how long do the headaches last?
4. does the headache improve when you go to sleep at night?
5. where is the headache located (left temple, forehead, back of head, right temple etc)
6. what makes the headache worse? (ie loud noise, foods, smells)
7. anything help make the headache better?
8. any symptoms when you have the headache or when the headache starts (ie weird smells, visual symptoms,)
i'm sending a few more question
Can you give me more background on your eyes?
Over the counter eye drops, ointments?
Medical history? (diabetes, arthritis)
Another question about the headache? What does it feel like? Pulsatile, vice like pressure, chronic ache, stabbing ice pick, throbbing? Basically try to do your best to use descriptor to define the headache character?
Is there any discharge from the eyes? watery discharge (tearing constantly), yellow discharge? green discharge?
Did the redness start in one eye initially then go on to involve the other eye?
Slight Watery discharge in left eye
Redness started in left eye then went to both eyes
Is sounds like you had a viral conjuctivitis that was treated with chloramphenicol. What I believe you are dealing with now is a fairly common corneal reaction called "subepithelial infiltrative keratitis". This occurs in the later stages of viral conjunctivitis. It is an immune reaction to the viral antigens and causes blurry vision, pain with light and headache. It can be treated if causing severe visual symptoms by using a mild steroid and a topical NSAID. The use of steroid is contraversial as it can prolong the resolution. However is used with proper ophthalmic followup can be most useful in alleviating your symptoms. I recommend going back to your eye doctor so he can take a closer look at your corneas to make the diagnosis and begin treatment. He/She will likely stop the chloramphenicol and start you on predforte drops 4x daily or lotemax 4x daily. They will also likely start xibrom, acular or other NSAID and natural tears. Also recommend cool compresses. This really needs to be evaluated and is could cause visual problems is not monitored by a professional.
I can recommend an ophthalmologist for you if you'd like?
If so, let me know the city and I'll find one for you?
Okay. It's been a pleasure chatting with you. Can I help you further?
In the mean time, try getting some natural tears from the local drugstore and place them in the refrigerator. Using cool tears can help with the pain. Also try using cool compresses on the eyes, this also helps alleviate some discomfort. You can do this until you are able to see your eye doctor on monday morning. I'm really glad you are going back to see your eye doctor, continuity of care is your best friend. This doctor knows you and knows the history of your situation. This will serve you well. Wishing you all the best.
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