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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 10557
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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Hi, My wifi is 36 yr old not known to have any medical problem.

Resolved Question:

My wifi is 36 yr old not known to have any medical problem. Complaining of itching and painful in both eyes. Is there any thing to do ?
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.

Dr. Rick :

Is her vision affected or does she have symptoms anywhere else?

Customer: Dosn't has vision problem
Dr. Rick :

symptoms anywhere else?

Customer: Just itching started in right eye then both eyes
Dr. Rick :

Ok. Well, it may just be allergies or it could be a combination of things. Here is a handout I wrote that goes over some home treatment that she can do that will most likely help her. All of the conditions I talk about in this handout may not apply to her....but the therapy discussed is what I want her to focus on, ok? Here it is:

Dr. Rick :

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.

Dr. Rick :

Does this make sense to you?

Customer: No discharge or redness
Customer: If there any drops to relieve here itching ?
Dr. Rick :

Not really anything OTC; those drops for "getting the red out, etc" just make things worse in the long run. Cold compresses (ice in a towel) should help as can OTC oral allergy meds I discussed.

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