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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 10553
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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My name is ***** ***** ventresca and my question is as

Customer Question

Good evening my name is ***** ***** ventresca and my question is as follows: i have allergies which are bothered more on windy days. I was sitting and reading when my throat started to itch and get sore then my left eye started to itch and tear it happened rapidly so i grabbed a mirror and the white part was swollen with a jellylike substance in the corner and was very red . I woke my husband who is a pulmonologist because i was scared he told me to take a benydryl which i did and put in sn eye drop which i was afraid to do. My eye looks much less red now but is still swollen around my iris and a bit teary. Is it safe to put in the eyedrops andclose my eyes snd go to sleep or should i stay in an upright position? This happened about 20 years ago twice i beleive i went to the er and they gave me benydyl and said i had a hive in my eye.
JA: Thanks. Can you give me any more details about your issue?
Customer: Well i have a bit of an upset stomach and indigestion i ate dinner but i dont think it had snything to do with a food allergy. Also the weather hear was warm today and sunny and it is abruptly turning very windy and cold for tomorrow? I was only outside for a few minutes several hours ago
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Submitted: 6 months ago.
Category: Eye
Expert:  Dr. Rick replied 6 months ago.

Hi. My name is***** and I am online and available to help you today. Thank you for your patience.

Question and answer is just one of the services I offer. I can also provide you with premium services, such as live telephone or skype consultation, at a small additional cost. Let me know if you are interested.

You can put in the eye drops and go to sleep from what you have posted.

You can also do some home therapy that can help in the future:

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?

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Dr. Rick MD FACS

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