How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7859
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
48069651
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

Dr.

Resolved Question:

Dr. Rick were is my answer I just send you some questions
Submitted: 2 years ago.
Category: Eye
Expert:  Dr. Rick replied 2 years ago.

Dr. Rick :

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

Dr. Rick :

Let me check your history.....be right back.

Dr. Rick :

Looks like answers to two questions posted around Sept 1. If you are unable to access them I can cut/paste them here.

Dr. Rick :

Is there something new you would like to also discuss?

Dr. Rick :

I guess you have stepped away from your computer. Here is the text of our last two intereactions:

Dr. Rick :
Dr. Rick :

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



Dr. Rick :

Hi. First off, let me put your mind at rest. It is very unusual for the herpes that affects peoples eyes to be the same type of herpes that one would get in their genital area.



Dr. Rick :

If you had ocular herpes there would be signs on the slit lamp exam. Your current ophthalmologist must not see any of these signs so that is why you are being told that you don't have this condition.



Dr. Rick :

Now, you mentioned ocular rosacea. This can cause a lot of the problems you are having. It is treated with an antibiotic pill as well as topical ointments/creams and drops.



Dr. Rick :

here is an excellent web page on this topic:



Dr. Rick :

http://www.internationalrosaceafoundation.org/ocular.php4



Dr. Rick :

Since you have noticed that you have a lot of mucus in the morning it is also possible that you are suffering from Dry eyes, mild allergies and (as you have already noted) blepharitis. I like to do these simple, at home, treatments for this:



Dr. Rick :

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.




 



Dr. Rick :

My system shows that you are in the chat room but I am unable to see anything that you may be typing. Does this make sense to you so far?



Dr. Rick :

I do not think that you need to worry about passing any of what you have onto your sisters who are currently suffering from cancer. At this point I feel you would be OK to spend time with them.



Dr. Rick :

I guess you have stepped away from your computer.



Dr. Rick :

We can use the Q&A system to 'text message' each other since you do not seem to be in the chat room as my screen is indicating. An email will be sent to each of us every time something is posted to this thread.



Dr. Rick :

And, now, the obligatory word from our sponsors: :o)






 

Dr. Rick :

and the other question:

Dr. Rick :
Dr. Rick :

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



Dr. Rick :

Many things can cause a red spot and a blister on your nose, not just herpes. The cannula that was used during your procedure would have been a sterile, single use item so there is no risk of cross infection there.



Dr. Rick :

If you want to use the gloves that is fine, but as you may already know, just because you have genital herpes doesn't mean that you are able to infect everyone you come close to, that you cook for or that you have normal social interactions.



Dr. Rick :

Also, as we discussed on the last thread the herpes virus that usually infects the eye is a completely different strain then the one that people tend to get in their genital area.



Dr. Rick :

Rosacea can cause red spots on your nose and, sometimes, small blisters. If you haven't already showed this to your dermatologist I'd point it out to her on your next visit.



Dr. Rick :

Like we discussed about your sisters who are suffering from cancer, you do not have to worry that this ocular condition will spread to your husband.



Dr. Rick :

Do you have any questions about this?



Customer :

yes, what can we use so when we have sexual relations we can be more confortable. I have read so much on the internet about this spreading during intercorse to the partner on his nose and eyes. We are both lost and we have been maried for 37 years. Should I be afraid that we should not have intercorse?



Dr. Rick :

As an eye doctor, I must confess, I'm not asked this question very often :o) however condom use should prevent cross infection. You can also take meds to suppress virus shedding.......this is a great issue to bring up during your next OB/GYN appointment.



Dr. Rick :

Here is a good web page that talks about this issue:



Dr. Rick :

http://www.webmd.com/genital-herpes/guide/genital-herpes-sex-life



Dr. Rick :

Let me know if there is anything else I can do to help you.



Dr. Rick :

And, now, the obligatory word from our sponsors: :o)







 



 

Dr. Rick :

Is there anything else I can do for you today?

Dr. Rick :

I see that you are offline. We can use the Q&A system to 'text message' each other. An email will be sent to each of us every time something is posted to this thread.


 

Expert:  Dr. Rick replied 2 years ago.
What Happens Now?

Your chat has ended, but you can still work with your Expert to get an answer to your question if you have not yet received one.

Come back to this page at any time to see additional information from your Expert.  You will also receive an email when your question is updated.  If you want to send a message to your Expert, use the box below.

If you have already received a satisfactory answer to your question, click the Accept button above.  Experts are credited for each accepted answer they provide.
Expert:  Dr. Rick replied 2 years ago.
I hope this is what you needed....let me know if there is anything else I can do for you.
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7859
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and other Eye Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology