Hi. I'm Dr. Rick and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.
Good morning and greetings from the USA
are you there?
do you wear glasses or contacts?
What kind of doctor did you consult? Was it an ophthalmologist? What did he think was wrong?
Eye doctor. He wasn't able to explain the problem because you don't speak English and I don't speak turkish either.
He just prescribe eye drop, and advised me to wear glass for 1 month only
Do the eye glasses clear things up for you at all?
As I told you, my eyesight was excellent before I moved to Turkey
Did this happen shortly after your exposure to the tear gas?
Yes in a few days after that
I lived in home crammed with DUST. with high levels of dampness
Ok. Ya. The dampness, dust, and probably mold, would make things worse....
I think that I can help you with some treatment you can do yourself at home....
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?
Are you still there?
It is a long way through the internet from your house to my office :)
I'd appreciate a summarized list of treatments in order please
I'm not sure what you mean. Doesn't the information I posted above kinda spell out what you can do at home to make things better?
I mean it's long paragraph. Just summarize your suggested treatments
Ok. One moment.
1. 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.
2. Use artificial tears (any brand will do) to soothe and lubricate your eyes many times throughout the day.
Give it a month to work. If it doesn't,seek out an english speaking ophthalmologist.
It's safe for you to press the positive feedback button now if you so desire. And, never fear, even after you press that button I don't go up in a puff of smoke -- I'll still be right here to continue helping you, but, as I do work for tips, I want to make sure you are happy before rating me.
do you think I need to temporarily wear glasses?
I also want to note that I fast for 18 hours daily.
Thanks. Why baby shampoo specifically? Can't I use any shampoo?