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Dr. James
Dr. James, Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 2286
Experience:  Eye Physician and Surgeon
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For over a year starting in August of 2009 I have had

Resolved Question:

For over a year starting in August of 2009 I have had problems with the area around and including my eyes. My eyes feel fatigued all the time, occasionally they burn. Its like the feeling of being overtired.
Submitted: 6 years ago.
Category: Eye
Expert:  Dr. James replied 6 years ago.
Dr. James :

Hello.

Customer:

Hello Dr.

Dr. James :

Before we begin.

Dr. James :

Please Note:
JustAnswer is a public forum. Information provided is for educational purposes & does not establish a patient-physician relationship nor substitute for a personal consultation with a physician.

Do you understand and accept those terms?

Customer:

yes

Dr. James :

Thank you.

Dr. James :

When was your last eye exam?
What drops are you currently using and how often?
What other medical problems do you have?

Customer:

Visine, last eye exam was November from my GP, have genital herpes

Dr. James :

How often do you use the visine?
Do you take any medicine for the herpes?

Customer:

also have tried Soothe by Bausche and Lomb, several times a day, had only one genital flare up and havent seen it since

Customer:

no medicine fro herpes

Dr. James :

From Aug 2009 until now, do you have the symptoms constantly or is there periods of time where you are symptom free?
Any change in vision?
Do you wear contact lenses?

Customer:

no contact lenses, symptoms are constant and occasionaly a good amount of burning

Customer:

mostly a tired eyes feeling, no physical fatigue though

Customer:

no change in vision

Dr. James :

Your symptoms are mostly consistent with dry eyes and/or ocular allergies. There may be multifactors causing this. 35 is young to have these symptoms but possible.

The first order of action is to STOP the visine. This medicine have other components which can worsen the condition if used chronically.

The second thing you need to do is see an eye doctor for a complete eye exam. An exam by your GP is not sufficient.

Dr. James :

I'd also recommend your GP check you for thyroid disease and possibility other autoimmune diseases which can be implicated in dry eyes. This can be done with basic lab testing and a good physical exam.

Customer:

okay will do, can it be herpes related?

Dr. James :

You should continue the soothe 4-6 times a day.

Customer:

ive used in frequently with little to no results

Dr. James :

It is possible, in which case there would be characteristic inflammation in your eyes.

Customer:

no inflammation

Dr. James :

What do you mean by no inflammation?

Customer:

I mean my eyes arent swollen

Customer:

there are blood shot lines though

Dr. James :

They don't have to be swollen. You can have a very mild inflammation seen with high magnification.

Customer:

oh okay

Dr. James :

The artificial tears are for symptomatic relief.

Customer:

okay

Dr. James :

So it is important to get a good exam to see if there is a root cause.

Customer:

will do

Dr. James :

Great.

Customer:

Thank you doctor.

Dr. James :

You're welcome.

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