Hi. I'm online and happy to answer your question today.
Were you examined by a optometrist or an ophthalmologist?
Unfortunately I am not very confident in this doctor who is in a large practice because of a prescription mistake he made a while back
Ok. Well, I have to tell you that I would not pick that eye drop for a corneal ulcer.
And, after 20 years of clinical practice I sure can't look at a corneal ulcer and call it staph....
He said I do not have a corneal ulcer but could see staph infiltrates that could lead to an ulcer
Sounds like BS To me.
If you are going to use an antibiotic drop I suggest Ocuflox, at least 4x/day for 10 days.
Sorry to be so blunt :(
which part is BS? The diagnosis?
the statement that you have staph infiltrates that he could see but, yet, you do not have a corneal ulcer.
In any event, maxitrol has neomycin, polymyxin B and dexamethasone in it....it would not be the same as neomycin generic
To me it sounds like you are not being treated very well at all.
And I can count on one hand the number of times I have made that statement concerning another ophthalmologist in my lifetime....
The generic eye drops have the ingredients you listed. What is the right thing for me to do? I am actually out of town so I can't go back for several days to see this doctor.
Ok. Well, since you have not improved it is time to switch to a different medicine. If you are in a town that has ophthalmologists I would get in for another opinion. The doctor you have seen did not do you any favors.
Also, if indeed you can't 'see' staph infiltrates, how important is my diagnosis?
I think the most important thing at this moment is to get a proper diagnosis. If it is a corneal infection you need to be on a better medicine....Ocuflox is very effective for almost every bug out there that attacks the cornea
Without a proper diagnosis you can't get the right treatment.
ok I will get a second opinion. But can you diagnose a staph infection in the eye in the absence of an ulcer?
If I am wrong about being able to see staph infiltrates at the slit lamp, proven by culture, I will gladly eat my tonopen. As a matter of fact, next time I see my cornea colleague I will ask him if he has ever been able to diagnose such a thing by looking.
ok, thanks. Anything else?
Yes. You can culture it. But that is not really needed. If there is an infection you use a broad spectrum antibiotic to kill it. Not a steroid mix like maxitrol.
I hope you feel better soon. Sorry to be so rough on your eye doc :(
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you don’t feel that I have earned a “10” rating in all areas, please let me know what I can do to meet your expectations. Thanks in advance, Dr. Rick MD FACS