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I am glad that the ENT doc didn't find anything wrong. It is very possible that you have one of two things going on: Either you have some abnormality/infection of your lacrimal sac and/or tear drainage system or you have an issue with your tear film/anterior segment from a combination of allergies/dry eyes and blepharitis.
There are some things you can try at home to treat a possible anterior segment issue. If this doesn't help then I'd suggest you try to get a referral to an ophthalmologist for a complete exam. Here is some information on the home treatment you can try first:
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.
Of course, an anterior segment problem such as allergies, dry eyes and blepharitis does nothing to explain the pain around your nasal bone. That is why I also placed lacrimal sac/tear drainage channel problems high on my differential diagnosis list. Since it can take some time to get in to see a specialist in the UK you may want to request a referral to an ophthalmologist from your GP at the same time that you start doing the above home treatment. If things get better you can always cancel the appointment.
Does this make sense to you?
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