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Ask Dr. Rick Your Own Question
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 10773
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I have a tiny tube of Finacea azelaic acid gel 15%, I just

Customer Question

I have a tiny tube of Finacea azelaic acid gel 15%, I just put it in my eye thinking I had gel for dry eyes that was the same size tube..it's very red and swollen ..I flushed it with water...should I go to the er? It looks very bad
Submitted: 5 years ago.
Category: Eye
Expert:  Dr. Rick replied 5 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Are you available to chat?

JACUSTOMER-6q3ez2j9- : Yes
Dr. Rick :

How is your eye now? Have you been flushing it with a lot of water?

JACUSTOMER-6q3ez2j9- : Yes ...should I keep flushing..it's very red a half shut
Dr. Rick :

Does it hurt a lot? Feels like you have a foreign body in it?

JACUSTOMER-6q3ez2j9- : And burns
JACUSTOMER-6q3ez2j9- : Yes
Dr. Rick :

It has most likely taken all of the skin off the front of your eye (cornea) and caused a chemical burn of your conjunctiva. This will heal with time and, in the long run, you should have no visual loss.

JACUSTOMER-6q3ez2j9- : Ok should I put the dry eye gel in and go to sleep.
Dr. Rick :

The bad news? If you are not able to hold your eyelids open, your face under the running water and really, really flush out your eye well for at least 15 minutes, the pH (acid content) may stay high around your eye and continue to cause some damage.

Dr. Rick :

If you had to guess, how well did you flush your eye? Did you get water all over the place, make a real big mess and hold your eyes open under the faucet for at least 15 minutes?

JACUSTOMER-6q3ez2j9- : No not at all I will take a shower and do that
Dr. Rick :

Ok. If you have any doubt, the safest thing is to go to the ER where they can use a special instrument to flush your eye with a few liters of sterile saline and check the pH to make sure it has come back to normal.

Dr. Rick :

If you don't want to do that, the shower thing will work, then goop up your eye with lacrilube. The pain will most likely wake you up when you start dreaming (REM) sleep.

Dr. Rick :

Does this make sense to you?

JACUSTOMER-6q3ez2j9- : Ok forgot to mention had surgery for mono vision and lasex in that eye
Dr. Rick :

How long ago?

JACUSTOMER-6q3ez2j9- : Probably making it worse
JACUSTOMER-6q3ez2j9- : I will do now thanks so much! 2 yrs ago
Dr. Rick :

My pleasure. If in doubt, go to the ER.....

Dr. Rick :

Take care and I hope you feel better soon.

Dr. Rick :

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Expert:  Dr. Rick replied 5 years ago.
Let me know if there are there any other concerns or issues you would like to discuss on this topic.
Expert:  Dr. Rick replied 5 years ago.
How are you doing this morning?
Expert:  Dr. Rick replied 5 years ago.
How is your eye feeling today? Let me know how you are doing if you have a chance.