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When did this problem start?What other diagnosis were given by the neuro-ophthalmologist other than the dry eyes?Has he had any CTs or MRIs?
He had it a year ago for a few months but it went away. It has returned a month or so ago
Yes, he had an mri and eeg but all clear
no other diagnosis has been given
but his recent specialist says his eyelid problems and head pains are unrelated to this
To clarify, he is not able to blink his eyes?Is he able to rase his eyebrows?Can he close his eyelids at all?
i think he does blink. But when he is tired or simply resting i see him physically holding his eyelids down as they wont go down on their own
he says he can shut them but its uncomfortable
he can raise his eyebrows yes
When he closes his eyes all the way, are you able to see any parts of the eyes at all?What other medical problems does he have?When you look at his face, does it appear he is "staring" at your or have a "scared" look?
he has o.c.d
no he never appears to be staring
OCD as in obsessive compulsive disorder?
no other illnesses
apart from the head 'pains'
fuzzyness and stabbing pains
oh, and when they are shut they shut properly
Thank you for the additional information.Problems with blinking of the eyes is usually due to paralysis of the facial nerves. This usually affects one side only and causes drooping of the mouth and weakness of other facial muscles. This does not appear to be the cases since he is able to raise his eyebrow adequately.
he has said the pain seems to go kind of from all over his head including his face
he does blink
Another problem which can cause inability to close the eyes fully is due to thyroid problems. Thyroid eye disease can cause the eyelid muscles to get "tight" from scarring. This can cause retraction of the eyelids, causing a "scared" look.
he hs had his thyroid tested and its normal
it was tested only recently
Dry eyes can cause eye pains which can sometimes lead to headaches.
In most patients with dry eyes, they feel better when their eyes are closed because it lubricates the eyes.
the drops arent really helping so we're concerned that it isnt dry eye
does dry eye cause the pain ive described?
In your son's case, blinking of his eyes may cause irritation and he may be erroneously keeping his eyes open as a way to prevent that blink induce pain.
Yes, dry eyes can cause a stabbing type of pain.
What drops is he using?How frequently is he using them?
three or four times a day ... sometimes more
I'd recommend he continue to use the artificial tears. You may consider switching to a preservative free artificial tear in the tear away individual vials and increasing the frequency to every hour or so.A neuro-ophthalmologist would be best person to diagnosis a neurologic problem causing a blinking problem. It is good that he did not see an abnormality of his eyelids.
he says blinking doesnt hurt
He should continue to followup with his neuro-ophthalmologist as scheduled.
Aside from the thryoid and nerve weakness, there are not many causes of inability to blink.
You might consider a second opinion, but there are no other obvious reasons for this blinking problem.
would it be ok to increase the dosage of the drops he has at the moment?
I repeat he doesnt have a problem blinking
Yes, using the artificial tears more frequently would be helpful.
What exactly is the problem?
You say he has a problem "shutting his eyes".
when he is tired and wants to shut his eyes he cant
he has to hold them down
when he shuts his eyes or is just resting them open it is uncomfortable
So, keeping his eyes closed causes pain?
Hello? Are you still there?
ws on phone to him sorry.
he says he hold them shut when theyre hurting
Not a problem. What was his reply?
hes not sure
hang on ill ask him again............hes in leeds im in london
When is he scheduled to see his ophthalmologist again?
no it doesnt hurt when theyre shut
seems they get uncomfortable when theyre open
as if straining
Yes, all those symptoms are consistent with dry eyes.
so perhaps its just a question of finding the right drops?
The right drops and time to allow the eyes to lubricate. Depending on the severity, it may take some time for the eyes to get comfortable. More than a week and sometimes months in severe cases.
thanks very miuch
With your son's moderate symptoms, there should be findings on his exam.
i was sooooooooooooo worried it was something else and noone seemed to know
So, you may want to double check with is ophthalmologist or get a second opinion if the diagnosis is in doubt.
yes he had a test with a yellow substance in his eyes and dry eye was diagnosed but was concerned he was wrong as the drops werent helping
The drops definitely take time to work.
oh what a relief
You're welcome. Please remember to press the accept button so I can receive credit for assisting you.
one more question..........i gather the drops alleviate the symptoms........is there a cure?
Well, he's young to have dry eyes. There is usually an underlying cause such as medication induced dry eyes, ocular allergies, or an autoimmune disease -- such as thryoid or rheumatoid.
Chronic contact lens use can do it as well.
So, the "cure" would be to figure why he has dry eyes at such a young age.
hes not on any medication......how would i find out about ocular allergies
he gets alot of mouth ulcers
Usually ocular allergies has itching type symptoms.
he doesnt itch
Mouth ulcers may or may not be related.
should he see a rheumatoid specialist
A condition called Behcets disease can have ulcers with eye symptoms.
thats interesting........specifically mouth ulcers?
Not necessarily a rheumatologist. A good complete exam from an internist would be sufficient.
If there are abnormal findings on exam or blood work, then a referral may be helpful.
an internist.......do you mean a GP
Yes, a GP.
In Behcets disease, there are characteristic mouth ulcers called aphthous ulcers.
ok.........ill note 'behcets' and mention it to a gp
is this serious
It may not be what he has, but something to consider.
ill look it up. Again thankyou.....you'r very good!!!
i will of course press accrept
Thank you. Best wishes to your son.
can dtry eye be caused by inflamation of the eye? As is with symptoms of behcets