Hi. My name isXXXXX and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.
First of all, it is very unlikely that this is due to your plaquenil use
And it is very unlikely that this is some sort of horrible blinding condition.
Do you have any medical problems or take any other medicines other than the ones listed?
I have rheumatoid arthritis
I googled of course and it of course said 'brain tumor" so now my whole weekend is shot to hell!!
Everyone thinks of brain tumor first :)
But I can assure you that you have a better chance of winning the lottery then having a brain tumor from the symptoms you are experiencing...
During the day, my vision is absolutely fine
except I wear glasses
I bet you have a dry eye/anterior segment issue.....let me tell you about a home therapy you can try until you can be seen by an eye MD.
But, remember: You still should get in for a complete eye exam...but at this point you should relax and not worry about brain tumors and other stuff Dr. Google is telling you about....
It sounds like you are suffering from an anterior segment/tear film issue. Many times, for all sorts of reasons, 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.
I understand that this treatment seems a bit "too low tech" to be of value, but after 2 decades of clinical practice, I can assure you (even from personal experience :) that it, does indeed, work.
Does this make sense to you?
Thank you I will try it. I do have very bad allergies. I see my eye doctor on Tuesday as well.
Ok. Let me know if I can be of any further help once you talk to your ophthalmologist. Have a good 4th.
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