Hi. I'm online and happy to answer your question today.
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 is 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.
Does this make sense to you?
Hi. Welcome to chat. I was just working on your question.
Hi. yes so stress probably has nothing to do with it?
what typr of natural tears should I purchase?
No. I really don't think that stress really has anything to do with your symptoms.
There are many brand names. I like Bion tears, tears naturale and preservative free artificial tears. They are all, basically, the same so the cheapest ones are the best :)
does it sound like I need surgery, I dont think i have any gunk coming out of my eyes, just sometimes watery looking?
Many times you cant see the gunk yourself but it is obvious under the slit lamp. I do not think surgery is necessary for this.
Last question: what is temporary punctual occlusion, you mentioned that if the drops dont work?
That is where plugs are placed inside the drainage channels of your tears (puncta) to "back up" the tears in your eyes, essentially making what tears you do make last longer. These plugs are made out of collagen and dissolve on their own after a week or two.
ok thx Doc, apprecite it
My pleasure. Have a good evening
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