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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 10894
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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My 38 year old Daughter has such terrible allergies. Particularly

Resolved Question:

My 38 year old Daughter has such terrible allergies. Particularly with her eyes. She constantly pulls out what looks like a stringy clear mucus all the while she is awake. Her eyes get puffy, red, and blurry. She is just miserable. She has tried different allergy meds, but they do lttle to help her.
Any suggestions would be appreciated.
Thanks,
Beth's Mom
Submitted: 4 years ago.
Category: Eye
Expert:  Dr. Rick replied 4 years ago.

Dr. Rick :

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

Customer:

Hi Doctor,

Customer:

Any good hep would be appreciated

Customer:

help

Dr. Rick :

Yes. I think I have some things she can try at home

Customer:

Great

Dr. Rick :

It may be that she is suffering from anterior segment issues such as dry eyes, allergies and blepharitis.

Dr. Rick :

Well It sounds like you have a couple of things going on. First is allergies, second dry eyes and third blepharitis.


 


It sounds like you are suffering from an anterior segment/tear film issue. Many times, as we get older, and especially after eye surgery, the anterior surface of the eye starts to have difficulties. What can cause this? Well, there are a number of conditions but the most common are dry eyes, allergies and blepharitis....many times all three conditions act together to make you miserable. In order to solve your problem you need to address all of these issues at the same time.


 


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.


 


 

Customer:

SShe puts eyes drops in all the time and also cleans her eyes

Dr. Rick :

She should avoid drops used to "get the red out" as this can just make things worse

Customer:

That's helpful

Dr. Rick :

my pleasure.

Dr. Rick :

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