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Hi. I'm online and happy to answer your question today.
It sounds like the cream that the dermatologist gave you is a steroid. This will help. The visine, however, may just irritate your eyes more.
Thanks Dr. Rick.
I see.. I'm guessing I shouldn't use it again though, as she said to use it for one week only?
You know, many times symptoms like your are caused by more then one thing working at once.
Oh, I see. Any idea what might be going on?
I've noticed many times that there may be a component of dry eyes, allergies (this is what the medicine the dermatologist gave you treats) as well as blepharitis.
The good news? There is a home therapy that you can do that should help.....
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.
Here is a good article on Blepharitis:
awesome! I am so uncomfortable right now ):
I will right that down
I would start using the cream that the derm doc gave you again for a week or so while the above therapy has time to take effect.
Does this make sense to you?
Is there anything else you would like to ask me this evening?
That sounds great. Is there anyway to get these directions of treatment in an email. I just don't want to lose what you wrote when we go offline.
You can right click on the text and hit print and print it out.
Oh, that sounds great. Thank you so much. This problem is driving me crazy! Have a good night, Dr.
You too :)
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