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Dr. James
Dr. James, Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 2282
Experience:  Eye Physician and Surgeon
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Hello, I had a corneal ulcer some 3 years ago and now have

Resolved Question:

Hello,
I had a corneal ulcer some 3 years ago and now have on going irritation in this eye
I wear a gas perm lens in the eye and try to wear it only 10 hours at a time
My eye burns all of the time
I have tried daily soft lenses and every over the counter drop I can find
The cornea has a large "scar" and my eye is always very red
I would like to wear glasses but i had radial keratotomy in the non effected eye and that eye has much better vision than the eye that had the corneal ulcer
Every configuration of eyeglasses I have tried just left me "dizzy" as the two eyes are so very different
Any recommendations for this ?
Thank you , Aimee
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. James replied 3 years ago.

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Customer :

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Dr. James, Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 2282
Experience: Eye Physician and Surgeon
Dr. James and other Eye Specialists are ready to help you
Expert:  Dr. James replied 3 years ago.
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Customer: replied 3 years ago.
I checked, accepted, thinking I was accepting an offer to accept the answer
sorry I did not get your answer
Are you needing additional information?
Thank you
Expert:  Dr. James replied 3 years ago.
Hello.

Do you currently wear gas permeable lenses or do you wear soft contact lenses?
Do your eyes feel irritated when you don't have lenses in your eyes?
What is the degree of your astigmatism?
Customer: replied 3 years ago.
Thank you Dr. James
Yes, I wear a gas permeable lens in the affected eye
And yes, they do feel somewhat irritated even without the lens
my eye tends to have a lot of redness on a regular basis.
of course more irritation thru out the day as I wear a lens
I know I am quite astigmatic... to what degree, I do not know
Aimee
Expert:  Dr. James replied 3 years ago.
Thank you Aimee.

Unfortunately, corneal ulcers can leave a rough irregular surface. Rigid gas permeable contact lens are better than soft contact lenses in these situation because it can vault over the irregular areas.

If the area of irregularity is large, you may consider a larger RGP. These are called scleral RGP lenses. Your optometrist should be able to fit them or refer you to a specialty contact lens provider.
Dr. James, Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 2282
Experience: Eye Physician and Surgeon
Dr. James and other Eye Specialists are ready to help you
Expert:  Dr. James replied 3 years ago.
My response is above. If you have any other questions, I am happy to answer them for you.



Edited by Dr. James on 1/8/2011 at 11:11 PM EST

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