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. Stan Your Own Question

Dr. Stan
Dr. Stan, Ophthalmologist
Category: Eye
Satisfied Customers: 2701
Experience:  Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
25472284
Type Your Eye Question Here...
Dr. Stan is online now
A new question is answered every 9 seconds

I am a white male, 46, with rosaceau and ocular rosacea since

Resolved Question:

I am a white male, 46, with rosaceau and ocular rosacea since I was 20 (some diluted iodine in face along with panic attack I think). My chronic dry eyes has gotten worse with age. At 27, I fell asleep in sun after having been on antibiotics and suddenly developed allergies and drier eyes. I had a reaction to doxycyclene in 2000 that left my eyes much drier and light-sensitive. I take Theratears OTC capsules, Refresh Plus Tears during day, Refresh PM at night, warm rag on eyes twice a day, also Restasi.

Three weeks ago I started a two-week regimen of 1500 mg./day Amoxicillin prescribed by my family physician to take care of a blood-in-urine problem. However, a couple days after I got off it, I noticed that my right eyeball had a sharp pain (when pressed) in one location. I've never had anything like that before.

I recently moved so I went to my new opthalmologist who examined my eyes, said corneas looked fine, but little red in one spot on rt eye; gave me Lotemax. scared to use it
Submitted: 4 years ago.
Category: Eye
Expert:  Dr. Stan replied 4 years ago.
Hello,

Welcome to Just Answer:

The Lotemax would not cause any problem. It is a mild topical steroid often used in combination with antibiotics to treat eye inflammation after bacterial infection has been treated or covered. Lotemax is frequently used with antibiotics, for example Zylet is a combination of Lotemax and Tobramycin antibiotics. The addition of Lotemax would likely reduce the pain and light sensitivity significantly. I suggest that you use it, but if you notice any worsening of symptoms, then stop immediately and contact your eye doctor. Alternatively, I suggest that your use over the counter Zaditor eye drop (a non-steroidal anti-inflammatory drop) 4 times daily.

It was a pleasure to assist you. Please, allow me get credit for my time and effort in assisting you and press the ACCEPT button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you so much.

A Positive Feedback and/or Bonus is welcomed and appreciated.

Please note that this answer is for information only. It cannot be substituted for the visit to or the recommendation of your doctor.
Customer: replied 4 years ago.

Thank you. I appreciate it. Should I also discontinue Restasis until this is healed? The reason I ask is that it seems to be exacerbating the situation. I know that once I stop Restasis, if I restarted it, it would take 2 months for it to kick in again. But I'm really worried about this right eye, not to mention that taking several kinds of drops (Refresh Plus, Restasis, and now Lotemax) is potentially confusing to the eyes.

 

Secondly, if I go for, let's say, 2 days on the Lotemax, and there's extreme light sensitivity, will it be safe for me to discontinue, or will there likely be a "reverberation" or negative effect on my eye since I'm interrupting a steroid in the middle of a 5-day course?

 

Finally, do you know how long it takes to get the Amoxil out of my system if I took it for 2 weeks 1500/mg. per day and discontinued it a week ago? That would make me feel better.

 

Thanks. Those are all my questions. I will accept after, as I do appreciate your advice already. But these additional questions are important to me!

 

David Curtin

Expert:  Dr. Stan replied 4 years ago.
Thank you so much:

It would be fine to stop Restasis and restart later. The reason for the burning is due to the low pH of Restasis solution which then causes more pain irritation on the inflamed eye.

If you use Lotemax for 2 days and then experience worsened light sensitivity, it is safe to stop it without any adverse effect from abrupt discontinuation. The concern of abrupt discontinuation of steroid is if used continuously for more than 5 days. In addition, Lotemax is mild steroid.

Amoxil at the high dose should be clear out of your system about 4-5 days after you stop using it.

It was a pleasure to assist you. Please, allow me get credit for my time and effort in assisting you and press the ACCEPT button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you so much.

A Positive Feedback and/or Bonus is welcomed and appreciated.

Please note that this answer is for information only. It cannot be substituted for the visit to or the recommendation of your doctor.
Dr. Stan, Ophthalmologist
Category: Eye
Satisfied Customers: 2701
Experience: Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
Dr. Stan and other Eye Specialists are ready to help 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. Stan
Dr. Stan
Medical Physician and Surgeon
905 Satisfied Customers
Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon