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Ask Dr. A.S. Desai Your Own Question
Dr. A.S. Desai
Dr. A.S. Desai, Ophthalmologist
Category: Eye
Satisfied Customers: 2398
Experience:  MS Ophthalmology with 13 years of surgical expereince
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Pain( like there's something in it)and tearing In left eye

Customer Question

Hi, pain( like there's something in it)and tearing In left eye only. History of high blood pressure. Also genital herpes and using eciggaretts for about 4 months. Symptoms come and go. Symptoms only occasionally only evident upon waking.
Submitted: 1 year ago.
Category: Eye
Expert:  Dr. A.S. Desai replied 1 year ago.

Hello,

Thank you for the question.

Since your symptoms of tearing in left eye upon waking is noticed only occasionally and not constantly then it is most likely to be due to mild dry eyes associated with meibomitis. Meibomitis is inflammation of the meibomian glands which are modified sebaceous glands present in the eyelids. However it is seen in both eyes and can begin earlier in one eye. Try out the following home based measures which are very effective in treatment of meibomitis. You should begin to notice improvement in 3-4 weeks of this treatment. In case of worsening of symptoms or persistence of symptoms in spite of the treatment do get your eye examined by an ophthalmologist for a closer look.

Following are the steps of treatment-

First, application of heat to warm the eyelid gland secretions and to promote evacuation and cleansing of the secretory passages is essential. Individuals are directed to use soaked warm compresses and to apply them to the lids repeatedly. Warm water in a washcloth, soaked gauze pads, or microwaved, soaked cloths can be used. However extreme heat should be avoided.

•Second, the eyelid margin is scrubbed mechanically to remove adherent material, such as crusting, and to clean the gland orifices. This can be completed with a warm washcloth or with gauze pads. Water often is used, although some clinicians prefer that a few drops of baby shampoo be mixed in one bottle cap full of warm water to form a cleaning solution. Attention must be directed to gentle mechanical jostling or scrubbing of the eyelid margin itself, not the skin of the lids or of the bulbar conjunctival surface. Vigorous scrubbing should be avoided as it may be harmful.

•Third, an antibiotic ointment is applied to the eyelid margin after it has been soaked and scrubbed. Antibiotic-corticosteroid ointment combinations can be used for short courses, although their use is less appropriate for long-term management and should be used strictly on the advice of the ophthalmologist

Regular use of lubricating eye drops such as Refresh tears eye drops, 1 drop 4 times a day would help in reduce the watering. Increase the intake of Omega 3 fatty acid rich foods such as fish and flax seeds.

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Thank you and best wishes.

It was a pleasure to have answered this question.

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Views expressed are for information purpose only and cannot substitute a visit to an ophthalmologist

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