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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 10783
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I have had red irritated eyes for a couple of months now with

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I have had red irritated eyes for a couple of months now with a watery sometimes mucus discharge. They burn and have extreme light senitivity. I woke up the other morning and all of the sudden my vision went from +6.00 in one eye & +7.50 in the other to seeing almost perfectly without glasses or contacts. I do not have insurance so am very reluctant to go to the hospital unless absolutely necessary. I hope some can give me some advise

Dr. Rick :

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

Dr. Rick :

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.

Dr. Rick :

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Dr. Rick :

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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..... :)

Have a good weekend
Customer: replied 4 years ago.
I have been using allergy drops given by a Dr for over a month as well as Claratin D. My systoms are worse I cannot go outside in the light even the computer screen takes some adjusting to look at. I am really confused about the vision change I can now see with drug store glasses as before I could not see anything without my contacts or prescriptions glasses for over 20+yrs. How can I all of the sudden see without a prescription?
The most likely cause of your sudden ability to see without your glasses is accommodative spasm. This would bring plus power into your eyes and make it so that you don't need your plus glasses so much.

What could have caused this spasm? It is possible that it is from your chronic eye irritation or some of the allergy drops you have been using. A wet/dry refraction would be able to diagnose this issue.

The good news? It will not harm you eyes in any way and should resolve on it's own with time.

Does this make sense to you?

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