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My daughter has been diagnosed with blepharitis. She has been

 
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Customer Question

My daughter has been diagnosed with blepharitis. She has been wearing contacts for a long time and doctor is concerned that she maybe developing a sensitivity to contacts. She had sinus surgery, just one year ago but continues to get infections. What would be the best advice to keep from getting this again? I guess it can be chronic. She is not permitted to wear her contacts now. What causes a sensitivity to the contacts? Thank you.

 

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Person's Gender: Female
Person's Age: 35

Already Tried:
Been to the doctor.

Submitted: 289 days and 22 hours ago.
Category: Eye
Value: $26
Status: CLOSED

Accepted Answer

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Expert:  Dr. Rick replied 289 days and 21 hours ago.


Dr. Rick :

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

Dr. Rick :

Contact sensitivity is usually from protein buildup on the lenses. I suggest using daily disposable contacts to get around this issue.

Dr. Rick :

Blepharitis is a chronic problem. The best thing to do is treat it every day at home. Antibiotics are not needed nor are any expensive lid scrub pads...

Dr. Rick :

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.

Dr. Rick :

By using daily disposable contacts and getting her bleparitis under control she should be able to go back to contact lenses.

Dr. Rick :

Does this make sense to you?

Dr. Rick :

Please remember the top 3 ratings are positives [great service is my goal] and this is how we are compensated. Rate my answer when you are satisfied. If you feel the need to rate low, please stop and reply to me via the REPLY TO EXPERT button with the issue you have. I will be happy to continue further and do everything I can to provide you with the service you seek.

Otherwise, a high positive rating is very much appreciated, bonuses are great, and find me anytime for follow up.

Let me know if you have further questions.

Dr. Rick :

I see that you are offline. I'll switch over to the Q&A system. This system works a lot like 'text messaging' but an email is sent to each of us anytime something is posted to this thread. We can continue to work on your question there..... :)

Expert TypeBoard Certified MD
Category: Eye
Pos. Feedback: 96.8 %
Accepts: 4076
Answered: 6/25/2012

Experience: Ophthalmology since 1994 with Retina sub-specialty interest

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Expert:  Dr. Rick replied 289 days and 21 hours ago.

Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

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Expert:  Dr. Rick replied 289 days and 21 hours ago.

Have a good day :)

Customer replied 289 days and 20 hours ago.

My daughter wears every day contacts. Does this mean she may always have to wear her glasses? She has a very strong prescription. :(

Accepted Answer

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Expert:  Dr. Rick replied 289 days and 18 hours ago.

I am glad to hear that she is using the daily disposable contacts as I think they are the safest and best, XXXXX XXXXX patients like your daughter who are having difficulties.

I think that she will be able to wear her contacts again once she can get her anterior segment/tear film/blepharitis issues under control.

If she continues to have problems, even after doing the above therapy for 3 weeks or so, I think it would be worthwhile to consult with a corneal/external disease specialist as he would be the best trained person to get her back into her contacts.

Does this make sense?

Expert TypeBoard Certified MD
Category: Eye
Pos. Feedback: 96.8 %
Accepts: 4076
Answered: 6/26/2012

Experience: Ophthalmology since 1994 with Retina sub-specialty interest

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