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My eyes keep watering and the tears sting my skin. I have

My eyes keep watering and...
My eyes keep watering and the tears sting my skin. I have had a swab taken and it came back clear. I have also had Fucithalmic eye drops, sodium cromoglicate drops and chloramphenical drops and still they keep watering and I think they are from my upper eyelids.
I had a kitten about 3 months ago and have had these symptoms for about 1 month.
Please could you help
June Essex
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Answered in 42 minutes by:
12/12/2010
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,634
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
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Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

are you available to chat?

Dr. Rick :

It sounds like you have a couple of things going on. First is allergies, second dry eyes and third blepharitis.

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 is 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, then temporary punctal occlusion of the lower puncta, then temporary occlusion of all 4 puncta then surgical ( non-reversable) closure of the puncta.

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.

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 you 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 effect 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 a week or so you should have a complete eye examination by your local ophthalmologist.

Dr. Rick :

The eye drops you have been using really don't address any of these problems as you primary issue is not a bacterial infection. Those drops also can irritate your eyes making things worse. At this point, I would give the above treatments at least 3 weeks to "kick in and if things are just not getting better your ophthalmologist my want to try a course of doxycycline 100 mg daily. This has been shown to help improve meibomium gland function while at the same time improving the blepharitis you may have.

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Dr. Rick
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