Thanks Dr. Tom
I am here now to speak with you
Hello, I could not find any answers from you
Great, may I ask you a couple of questions to get started?
Do your eye produce more mucous than normal? Do your eyes feel better with the CLs on or off? Do you have lots of other allergies?
my cousin is here with me. She has the allergies I told you about.
she does not have other body allergies
she was off cl s for 15 days due to a doctor's request
but there was no difference
no mucous than normal.
OK, thanks for that.....did the eye doctor flip the eyelids with a q-tip the examine the under surface of the lids with his slit lamp microscope?
they examined the eye lids very thoroughly with the lamp microscope
both of the lids lower and upper are full of allergies they said
Yes, I'm sure, but were the upper eye lids everted?
they prescribed several eye drops
she used those but they did not work
so now she is on FML and eyestill
she was using pomade for the inner side of the eye
she used restasis pomade
she is on FML for the last three days
Great....that was a through examination. And the medications used often work, but sometimes it is necessary to be more agressive with suppressive medications that are available. In my 25 years of ophthalmic practice, I can't remember a time when we didn't get these very severe allergies under control. Was the eye doctor you saw an ophthalmologist?
I do not know the difference
we are from Turkey
we went to a few doctors in the last two weeks
one of them was an eye surgeon
what do you mean by being more aggressive in medications?
are there other medications that we can buy from the US that are unavailable in our country?
would computer screen make it worse because she is working as an editor and works for long hours
An ophthalmologist is a MD, a physician trained in all of the medical and surgical deseases of the eye. In Turkey there may be other classifications of eye doctors.There are much stronger steriod eye drop, and oral steriods are rarely necessary. I wish I could tell you about availability between our countries, but I am sure that your eye surgeon knows the types of medications to which I refer. Yes long periods of focusing on the computer could aggravate here sysmtoms.
could you give me names of strong steroids please
because the ones that doctors prescribed did not work at all
A this point she should consider discontinuing the CLs completely until she get things under control. Consider frequent OTC tear drops, like Systane used 4 or 5 times a day....and frequesnt applications of cool compresses....all in addition to the medications her doctor is trying.
if you know the best eye doctor in turkey who is an expert in allegies, that may also work
An example of a strong steriod eye drop is Pred Forte.
what do you mean by cool compresses
I will be glad to do a search for a qualified specialist for you. What is your nearest large city?
we are in Istanbul
it is the biggest city in Turkey
do make up and light effect her allergy?
could you explain what you mean by cool compresses
OK...great ( I would love to see your beautiful city sometime )....I will look up a specialist for you. Please go ahead and rate our encounter so I can clear our conversation from the Live Chat...and I will post the specialist in the Q and A dialog box so you can come back to it. Does that suit you?
Cool compresses are just sterile pads soaked in ice water,
yes where is Q and A dialog box
You will get an email message and link as soon as I post your specialist name. Does that work for you?
yes and also I would like to contact you later after seeing the doctor in Istanbul
please let me know how I can reach you because doctors change in the chat room and I do not want to describe everything from the beginning
and I am sure you would like to hear the update
Give me about 30 minutes to get the names you need. Ss let's check out as soon as you rate our encounter. You will have my contact in my reply posting.
While this ( above ) clinic is oriented to Laser eye sight correction, these eye surgeons specialize in external eye diseases and are highly trained in all aspects of ocular surface pathology.
Academic teaching centers are also a great place to seek treatment because so many specialists are available to consult with each other about complicated patients. These two professors have very good credentials.
I will contact the doctors that are on the below list:
But I could not find any specialist in Istanbul from the link below. Please give me specific names or the specific link showing the list of doctors.
Also in my first chat with you, I asked about if make-up would make the allergy worse and also studio lights as my friend is hosting a Tv show daily. Thanks
Hello again....there Doctor are shown to be in Istanbul:
Please let me know if this was helpful?
The make-up is not likely to be the cause, however, the light exposure might be a factor.
yes helpful thank you. Also, would you kindly inform us if any tests or procedures that she should go through?
Great, I am glad that helped. In all probability, she will not need any special testing beyond the through examination by her ophthalmologist. But even if he does any testing, it will be minor and at the time of the examination. If he suspects a bacterial cause he may do a culture test to see what is the best medication to use.