Hi. I'm online and happy to answer your question today.
So you say that the white part of both of her eyes, along with the creases of her eyelids, are red and irritated and now the redness is getting closer to the middle of her eye (the cornea)?
You have not replied to my question, I see I misspelled cerebral.
Does she seem to be discomfort? Does she complain of problems seeing?
Hi. I'm not a computer :) so I have to type my response...and I'm not the worlds best typist. But I am here ;)
She seems very uncomfortable and agitated. Kellee is for most purposes non-verbal.
Ok. Well, I very much doubt that Kellee's problem is dryness and that lacrilube will take care of it. It sounds more like an allergic reaction and, most likely some blepharitis.
Here is some information about what you can do to help her at home:
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.
Of course, with Kellee you can do the warm compresses and lid scrubs at the bedside, in her wheelchair etc.
You can continue the lacrilube as that may be helping some. You can also get some 1% hydrocortizone cream and put on her eyelids.
If things don't start looking better in a week or so I'd take her to an ophthalmologist.
Does this make sense to you?
Yes, thank you very much
My pleasure. I hope your daughter feels better soon.
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