Hi. I'm online and happy to answer your question today.
Ok. Well, I'd not use that antibiotic that caused nightmares anymore. There are a lot of different antibiotics out there that you can use.
You know, in my experience, when someone has a problem like yours that just can't be resolved it is usually from a combination of issues instead of just one.
Many times it is from a mix of dry eyes, allergies and blepharitis.
What kind of antibiotics would you recommend and can you prescribte one.
What can you do about this? Well, 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.
I have found that, given a month or so of the above, simple, home treatment the vast majority of patients see a decrease in their symptoms.
I'd stop all the antibiotics at this point and try the things above for 3 to 4 weeks.
Dos this make sense to you?
Yes, although the lids are pretty inflamed. Scrubbing seems like
it would only make it worse.
You can also put some 1% hydrocortizone cream on the eyelids 2 or 3x/day. This mild steroid will help the inflammation...and I agree, maybe don't scrub so hard until things calm down a bit
The baby shampoo and lid scrubs, along with the warm soaks should make your lids a lot less inflamed by getting rid of the "gunk" (a complex medical term :) and getting rid of the things that are causing your issues.
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