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Ask Dr. Dan B. Your Own Question
Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3343
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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Hello!I am a 19 year old female with 20/20 vision. I have

Customer Question


I am a 19 year old female with 20/20 vision. I have a history of anxiety and allergies, but otherwise, have no other health problems. I do have issues with minor TMJ, however. Also, lately, I have been clenching my jaw a lot due to super high stress.

For the past few days, I've had a bit of trouble with my eyes, particularly my right eye. Both of my eyes burn, sting, and itch on and off throughout the day. In addition, my right eye feels like it's watering, (no tears are produced), and, when I close my left eye, has slightly fuzzier vision. (There's not much of a difference, and it more has to do with the fact that my eye will go out of focus when staring at something, and then go back in focus.) It almost feels like something is in it, but nothing is there. I have noticed that most of my symptoms go away when I am not anxious about them, especially the "fuzzy" vision. Also, my right eye only is a tiny bit swollen, and the white of the eye is slightly pink.

As side notes, I go to the college in the middle of the woods, and I am on my laptop, (glossy screen), and my phone pretty much 24/7.

What should I do? Thanks!
Submitted: 4 years ago.
Category: Eye
Expert:  Dr. Dan B. replied 4 years ago.

Doctor DanB : Hello and thanks for your question. Are you available to chat?
Doctor DanB : The most common reason for the eyes to be causing these symptoms is due to a dysfunctional tear film syndrome. People with a dysfunctional tear film can have dull aching or pressure, sharp or stabbing pain, morning tearing, burning, and often eyelash mattering but they can also have these symptoms throughout the day to also include tearing, stinging, itching, burning, a gritty/foreign-body senstation or just intermittent vision fluctuations Their symptoms sometimes get better as the day progresses, but they can get intermittent blurring when they use their eyes heavily in activities such as reading, watching TV, computer use or driving. A dysfunctional tear film can be due to many different factors. Different medicines such as psychiatric medicines, antihistamines, cold medicines and others can contribute to a dysfunctional tear film.  Allergies in the eyes can also contribute (and or make worse). Some people have an innate deficiency in making their own tears (these people may also have other dry mucus membranes, such as their mouth, nasal passages, or genitalia). Many people have an inflammation in the eyelids called blepharitis which causes the tear film that is supposed to coat the front of the eye to not function as well, and then the eyes dry out.  Your symptoms sound consistent with blepharitis; I would recommend  starting this treatment, while concurrently using artificial tears. In order to treat blepharitis, everyday in the morning you should do two things: 1. hot compresses and 2. eyelid scrubs. You should do hot compresses for 5-10 minutes over each eye at the same time. It should be as hot as you can tolerate without burning your skin, massaging the eyelids while they are on there. Then, use either commercially available preparations or a dilute baby shampoo solution to scrub your eyelashes on all 4 eyelids. The commercially available preparations are called Ocusoft or Sterilid which are both over-the-counter eyelash scrubbing treatments. These cost more money but are quicker to use. Otherwise, the cheaper alternative is the dilute baby shampoo (4-5 drops Johnson's shampoo in 1/4 cup warm water), you will take the wipe (or dip a qtip in the dilute baby shampoo solution) and use that to scrub right on the eyelashes of each eyelid for 15 seconds. That will take 60 seconds when done to all 4 eyelids. The scrubbing is done right on the eyelid margin, where the eyelashes come out. After that, just splash some water on the eyes and you're done. It does take about 3-4 weeks of doing this consistently every day before it really kicks in, so don't stop it thinking it's not working. Also the eyes are still significantly dry during this 3-4 weeks so I would recommend using artificial tears 4x/day in both eyes (one drop per application). After 4 weeks you should be able to start tapering off of the tears to as you need them. Just doing the artificial tears, hot compresses and eyelid scrubs alone would likely start to help you after three or 4 weeks--but remember it could take this long of doing it everyday before you see a significant effect, so don't stop it thinking it's not working. If you are a person that doesn't make their own tears very well, then you may also benefit from a prescription drop called Restasis, which actually modulates a person's immune system to help them make more of their own tears. This drop actually requires constant usage on a daily basis for up to 10-12 weeks before its effect kicks in (takes awhile to change the immune response in the body). Because there are numerous reasons for dry eye, if not all the reasons that exist in one patient are treated, it can seem as though the ones that are being treated are providing no benefit. If you've tried these recommendations and still don't feel better then you should consider seeing a corneal specialist for a dry eye evaluation.It's also certainly possible that this pain/pressure could be associated with other less common things like an inflammation inside the eye called iritis or certain infections, but unless you have significant eye redness and light sensitivity, then these are unlikely. But if you do, or the above recommendations for dysfunctional test film treatment aren't working, then I would recommend that you see your ophthalmologist
Doctor DanB : Does this make sense?  Does this information help address your concerns? Do you have any other concerns or questions about this topic?    It appears as though you are not in the chat room currently.    I am happy to be able to help you today. I will also be happy to answer any other questions until you have the information you need.   If you would like to ask further questions or clarification regarding anything I've said, please let me know and I will be happy to address your concerns. Your feedback is important to me and will help me improve my encounter with future customers.  Please rate your encounter with me by providing feedback; any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated.  If you feel like your concerns are not resolved or you have a problem or issue with anything I have said or haven’t said, please don’t issue a negative feedback rating—My goal is your satisfaction and I would rather work together to solve your concerns, until you are satisfied, than have you leave our encounter unhappy and unsatisfied.  My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor. Thanks for your inquiry!