I would not insist on the tear production test (shermers) as it really doesn't give all the much information that isn't already obvious on clinical exam and history. Also, while sjogren's is a possibility, I wouldn't rush into a biopsy from what you are telling me as I think your issues may be a combination of dry eyes, allergies and blepharitis
Although this is not related to your current problem from the alcohol :) It may be helpful for you to some home treatment. Here is some information that you may find helpful:
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.
If things continue to be a problem you might want to have an examination by a corneal specialist. She might have some insight that your regular ophthalmologist doesn't have concerning your symptoms.
At this point, concerning the alcohol issue, I'd just use some tear drops and, perhaps the bedtime ointment for a couple of nights, and otherwise leave things alone so that they can heal up.
Does this make sense to you?
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