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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 10788
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I woke up last night after sleeping an hour, my left

Customer Question

I woke up last night after sleeping for about an hour, my left eye was watering & burning & my vision was very blurry, lasted for about an hour. I do suffer from dry eyes.
Submitted: 1 year ago.
Category: Eye
Customer: replied 1 year ago.
(Posted by JustAnswer at customer's request) Hello. I would like to request the following Expert Service(s) from you: Live Phone Call. Let me know if you need more information, or send me the service offer(s) so we can proceed.
Expert:  Dr. Thomas, MD replied 1 year ago.
Hello
I do not do live phone calls.
Tell me, when is the last time you had a glaucoma test
Expert:  Dr. Rick replied 1 year ago.
Hi. I'm Dr. Rick and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.
Thank you for requesting me.
It is highly unlikely that you are suffering from an acute closed angle glaucoma attack.
I would be happy to talk to you on the phone. Let me send you a link:
Customer: replied 1 year ago.
I had a full eye exam including dilating drops last year, it was normal & I have almost perfect vision
Customer: replied 1 year ago.
I suffer from extremely dry eyes & take over the counter eye drops
Expert:  Dr. Rick replied 1 year ago.
That is good to hear.
Bion tears is a very good brand name of artificial tears.
You can use these as often as you like..
Does this make sense to you?
Don't forget to mash the positive feedback button for me...the one labeled "excellent" is the most fun to push by far ;)
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.
Dr. Rick MD FACS
Customer: replied 1 year ago.
So, do you have any ideas of what this could have been? I'm sorry, but I feel like I've given all the info here & you've just suggested some drops.
Expert:  Dr. Rick replied 1 year ago.
Yes. I do. I thought you just wanted a solution....
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 and the use of a medication called restasis to improve your 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. If this does not give relief then your eyelid opening can be made smaller with surgery (lateral Tarsorrhaphy).
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 is 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?
Don't forget to mash the positive feedback button for me...the one labeled "excellent" is the most fun to push by far ;)
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.
Dr. Rick MD FACS
Customer: replied 1 year ago.
Is it normal for one eye to be worse than the other?
Expert:  Dr. Rick replied 1 year ago.
yes. That is very common.
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 can please give me the top rating in all areas. It has been a pleasure to assist you today.
Thanks in advance,
Dr. Rick MD FACS