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Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3164
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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I have had inflamed veiny eyes since april 2010. They give

Customer Question

I have had inflamed veiny eyes since april 2010. They give me headaches and the actual eye ball hurts. I have gone to an eye doctor and a regular doctor and they have not found out the problem. The eye doctor gave me steroid drops and they did not seem to effect my eyes at all, I have also tried natural tear drops with no differences. My eyes are sensitive to light. I don't wear contacts or glasses. I have never had any problems like this before and I would like to know what it is and how I can make it better?
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. Dan B. replied 3 years ago.
Hello and thanks for your question.

Is your eye painful? Painful only to touch? Does eye pain wake you out of sleep? Is just one sector of the eye red or is it the entire white part of the eye?
Customer: replied 3 years ago.
Yes I have eye pain but does not wake me up at night . It does not hurt when I touch my eye but the eye ball is in pain. Both of my eyes are red, the entire white part.
Expert:  Dr. Dan B. replied 3 years ago.
Do you wake up with mattered, crusty or sticky eyelids?

When you wake up do your eyes burn, sting, itch, or feel irritated?

Do you wear contact lenses?

Have you ever had styes in either eye?
Expert:  Dr. Dan B. replied 3 years ago.
Sorry, I forgot you said you don't wear contacts.
Customer: replied 3 years ago.
When I wake up my eyes burn, sting, and feel very irritated, sometimes more then others. They are not mattered, crusty or sticky. I have never had contact lenses or had styes in either eye.
Expert:  Dr. Dan B. replied 3 years ago.

First of all, let me say that without being able to examine your eyes, my ability to diagnose this condition is somewhat limited, as you may imagine. With that being said, your symptoms are classic for dry eyes with inflammation; this is very often overlooked as a cause for these symptoms. When there is inflammation in the eyes and/or eyelids, this is usually from what's called blepharitis, although this inflammation can occasionally spill over to the cornea and if it does (would only know this by an exam of your eyes), then treating this blepharitis as I will detail below is usually not enough; essential treatment, but not enough.

 

The eyelids are key players in making a layer of tears that coats the surface of your eyes called a tear film. The inflammation that is blepharitis keeps the eyelids from making that tear film as healthy as it needs to be and so the eyes dry out. Also because there is inflammation in the tears because of the blepharitis, there are bacteria pooling in your tear film. Often times an antibiotic +/- steroid drop or ointment is used to help kill the bacteria. This therapy is usually only used in a pulse fashion, to start out the treatment and then only used when there are flare-ups, not on a regular basis for most people. However, treating this with a steroid drop for a few days is not enough to treat this entire problem, it is usually just an adjunctive measure combined with the baseline treatment as I state below.

 

The baseline treatment for blepharitis and what I think you should start doing, is everyday in the morning you should do two things: 1. hot compresses and 2. eyelid scrubs. You should do hot compresses for 5-10 minutes over each eye at the same time. It should be as hot as you can tolerate without burning your skin, massaging the eyelids while they are on there. Then, use either commercially available preparations (Sterilid or Ocusoft) or a dilute baby shampoo solution to scrub your eyelashes on all 4 eyelids. The commercially available preparations are both over-the-counter eyelash scrubbing treatments. These cost more money but are quicker to use. Otherwise, the cheaper alternative is the dilute baby shampoo (4-5 drops Johnson's shampoo in 1/4 cup warm water): you will take the wipe (or dip a qtip in the dilute baby shampoo solution) and use that to scrub right on the eyelashes of each eyelid for 15 seconds. That will take 60 seconds when done to all 4 eyelids. The scrubbing is done right on the eyelid margin, where the eyelashes come out. After that, just splash some water on the eyes and you're done.

 

It does take about 3-4 weeks of doing this consistently every day before it really kicks in, so don't stop it thinking it's not working; often times combining this with the topical steroid helps to bring relief sooner. Also the eyes are still significantly dry during this 3-4 weeks so use artificial tears one drop in each eye, 4x/day (make sure it is not the kind that says get-the-red-out or redness-reliever). After 4 weeks you should be able to start tapering off of the tears to as you need them.

 

Just doing the artificial tears, hot compresses and eyelid scrubs alone would likely start to help you after three or 4 weeks--but remember it could take this long of doing it everyday before you see a significant effect, so don't stop it thinking it's not working. Also you may need an antibiotic/steroid combination medicine to help augment the therapy. If after 3 weeks of diligent treatment you are better, but not completely normal, you may need to see your eye doctor to assess for other causes of dry eyes, as blepharitis is only one cause of dry eye. Many times dry eye patients have more than one cause of dry eyes (Restasis is an excellent treatment for those people with dry eyes because they don't make enough of their own tears). Each cause of dry eyes needs to be appropriately treated for your symptoms to resolve.

 

Does this help answer your question? I know this was a wordy answer, but it is all essential information to treat this.

 

I am happy to be able to help you today. If you would be so kind, please help me get credit for my efforts in answering your questions and press the ACCEPT button for this encounter; this allows for the deposit that the JustAnswer website has collected from you to be credited to me for my help resolving your concern.

 

I would also be happy to continue to answer any more questions you have until we have resolved your concern.

 

Also, any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated.

 

My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must be examined by your doctor.

Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3164
Experience: Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
Dr. Dan B. and other Eye Specialists are ready to help you
Customer: replied 3 years ago.
why would my eyes be that dry for that amount of time? They have been this way for eight months.
Expert:  Dr. Dan B. replied 3 years ago.

Dry eyes, for most people that have them, is a chronic condition. This blepharitis that I spoke of is a condition that people either have or they don't have; you've had it your whole life, but likely did not have a flare-up of it until now. Usually there is some trigger that causes it to become noticeable to the patient, including getting something in the eyes, an eye injury, an infection, allergies or even an intense usage of the eyes over a short period of time.

 

Regardless, if this is blepharitis as I suspect, you will likely to continue to have problems if you don't treat it everyday; just like you need to brush your hair and teeth daily, this will require daily treatment as well or it just won't work.

 

Does that make sense?

Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3164
Experience: Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
Dr. Dan B. and other Eye Specialists are ready to help you
Customer: replied 3 years ago.
yes thank you!! I will try what you suggest and hopefully that will help my eyes get better!
Expert:  Dr. Dan B. replied 3 years ago.
Great. Good luck; be consistent and I bet you'll be feeling better soon.
Customer: replied 3 years ago.
I was wondering what the significance of the baby soap and what it is doing?
Expert:  Dr. Dan B. replied 3 years ago.
The baby shampoo helps to free plugged and capped oil glands that are in the eyelids. It are these eyelid glands that don't function well because of the inflammation.

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