Hi. I'm online and happy to answer your question today.
Do I need to accept first??
I think the second surgeon is on the right track. But, since you are still having problems I believe your may be suffering from a combination of issues not just dry eyes alone. Here is some information on additional things you can do at home that may help
No. But I never turn down early payment =) Just kidding. Read what I have to say, and then decide if you think it was helpful. Then, you can pay me.....
I am ready to try anything. The pain is not terrible just very annoying and makes me not want to read or do things.
Ok. Here is the info:
Well It sounds like you have a couple of things going on. First is allergies, second dry eyes and third blepharitis.
When it comes to allergies it is almost impossible to pin down the offending agent(s) and, therefore, treatment needs to focus on controlling the symptoms. Dry eyes are very common and can be improved by a stepwise series of therapies. First, the use of natural tears 4-6+ times/day to augment your natural tear production, if this doesn’t work then you can try temporary punctal occlusion of the lower puncta, then, if needed, temporary occlusion of all 4 puncta then, if indicated, surgical ( non-reversible) closure of the puncta. The openings to your tear drainage system are called puncta and you have one opening on each lid, near your nose.
Blepharitis is a condition where glands in the eyelids are not functioning normally. They become plugged and instead of putting out their normal clear, oily secretions, they put out thick, toothpaste like gunk. You may not be able to see this “gunk” yourself, unless it is really bad, but it shows up clearly on slit lamp examination.
The best treatment for this condition daily lid scrubs combined with warm compresses. I like to use baby shampoo for lid scrubs. In the shower, place the shampoo on your index fingers, close your eyes, raise your eyebrows (to stretch the skin on your eyelids) and scrub back and forth along your eyelashes for 3 to 5 minutes. The hot water in the shower helps to soften the plugged oils in the glands while the mechanical scrubbing with your soapy fingers removes the oils.
Baby shampoo lid scrubs will also help to wash away allergens and stimulate tear production, thereby addressing all three of your issues. Remember, this is not an instant fix. While you are waiting for the lid scrubs to have affect you can use over the counter allergy pills such as Travist, dimetapp or Zyrtec.
Should your symptoms get worse, your vision become significantly affected or things just not get better in 3 weeks or so you should have a complete eye examination by your local ophthalmologist to look for other, less common, causes of your symptoms.
OK go for it. We also tried a predisone eye drop which seemed to help.
Baby shampoo is great stuff. I've had a lot of success with the above treatment in a large number of patients over the decades.
Prednisone helps everything....but it is dangerous.
Does this make sense to you?
Hang on I am going to get the name of the predisone liquid. Be right back.
omnipred Just started using it again 4 days ago. How many times can I use this and OK to use with restasis and systane or how to use.
Your suggestions for use. My close vision eye is burning as we speak.
I had the tear ducts plugged all ready as a treatment the second surgeon did that all ready.
The omnipred will be OK to use 4x/day for a month or so. You will have to be checked for any steroid induced glaucoma, infections, etc but if you are closely monitored you should be ok......but remember. Steroids are like nuclear weapons. Very effective but tend to have unwanted side effects :)
You can use the restatis, systane, baby shampoo etc with the omnipred as well.
What would your suggestion be how many times a day with each. I just don't want to overdue.
The other bad thing about steroids is that you feel so good, and nothing else seems to make you feel so well, that you can get "hooked" on them in the sense that you don't want to settle for less.
This is drops, the same dangers.
the systane you could swim in without hurting your eyes. Omnipred 4x/day max, restasis as directed by your doc.
OK all together I mean all in the same day. Restasis is OK to use with all the others. The doctor said twice a day one drop in each eye.
yes. Doesn't matter the form of the steroids. Similar risks.
I guess I haven't been using any of them enough as I didn't want to overdue anything.
If all the above doesn't work you could talk to you surgeon about a lateral tarsorrhaphy
sure. All on the same day. Space them a few minutes apart so one drop doesn't wash out the other.
Don't be afraid to use them......hit it hard, feel better, then back down to where you are comfortable, maybe not perfect, and stay there.
The doctor (2nd) gave me a prescription for glasses. I had them filled here in MX where I live full time. I have tried to wear them for about a week and still make me feel eyestrain and dizzy. They are varilux. Is this normal or maybe the correction is not correct??
I will do that with the drops to see what happens. Thanks for all your help. I was afraid to mix them all up at the same time. I will try what you said then see the dr if not better soon.
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My pleasure. I hope you feel better soon.