Eye

Ask an Eye Doctor and Get an Answer ASAP

Ask a Doctor,
Get an Answer ASAP!

Eye

I am diabetic and have glaucoma. My A1c is 6.7. I am on

Customer Question
Combogan twice daily and Travatan...
I am diabetic and have glaucoma. My A1c is 6.7. I am on Combogan twice daily and Travatan once daily at bedtime. My IOP is currently 16 in both eyes. I had cataract surgery and IOL implant in the right eye on January 13. Since the surgery the right eye vision has been blurred. My eye surgeon did an OCT scan and said everything was fine with the retina. He also checked the position of the IOL to make sure it didn't shift and that was OK. I just got a new prescription for my eyeglasses and that didn't help. Also there is no damage to the optic nerve caused by the diabetes or glaucoma. Can you shed any light on what might be causing the blurred vision?
Submitted: 6 years ago.Category: Eye
Show More
Show Less
Ask Your Own Eye Question
Answered in 52 minutes by:
3/4/2011
Eye Doctor: Dr. Rick, Board Certified MD replied 6 years ago
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,654
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Verified
Dr. Rick :

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

Dr. Rick :

In the affected eye, what is your best corrected visual acuity? Do you have any changes on Amsler grid testing?

Dr. Rick :

hi

Customer:

I relaay don't know off hand the best corrected acuity. I don't recall having amsler grid testing. Please explain what that is.

Dr. Rick :

An amsler grid is a piece of paper with lines (either white on a black page or black on a white page) and a spot in the middle that you look at one eye at a time with your reading glasses on. It would show wavy spots/blind spots etc with some types of macular pathology

Customer:

NO, i didn't have that test.

Dr. Rick :

Ok.....

Dr. Rick :

With your new glasses can you see road signs in the distance with the affected eye only? Can you read with that eye?

Customer:

I can see road signs but they are blurred if I close my left eye and look only with the affected eye. I cannot read with that eye alone.

Dr. Rick :

Ok. Well, in light of a normal eye exam, retinal evaluation and OCT with decreased vision after uncomplicated cataract surgery the most likely cause of your visual problems would be issues with the tear film.

Dr. Rick :

I think it would be good to do a 3 or 4 week trial of natural tears, warm compresses and baby shampoo lid scrubs.

Dr. Rick :

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 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.


Customer:

What exactly is the tear film andd would that not have shown on the OCT?

Dr. Rick :

I would also use natural tears 4 times a day or so while doing the above warm compresses and lid scrubs

Dr. Rick :

no. The OCT examines your retina in this case. The front of your eyes are covered in a thin liquid layer of tears. When there are problems with this it is like getting oil on your windshield in a rain...messes everything up

Dr. Rick :

does this make sense to you?

Customer:

Yes it does make sense and I will try doing as you recommend.

Dr. Rick :

And, now, the obligatory word from our sponsors: :o)

I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and press the ACCEPT button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much.

Positive Feedback and/or Bonus is welcomed and appreciated.

Dr. Rick :

Ok. Glad to be of help. Have a good weekend.

Ask Your Own Eye Question
Eye Doctor: Dr. Rick, Board Certified MD replied 6 years ago
k
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,654
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Verified
Dr. Rick and 87 other Eye Specialists are ready to help you
Ask your own question now
Ask Dr. Rick Your Own Question
Dr. Rick
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,654
11,654 Satisfied Customers
Experience: Ophthalmology since 1994 with Retina sub-specialty interest

Dr. Rick is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Dan B.

Dr. Dan B.

Board Certified Ophthalmologist

3,334 satisfied customers

Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology

Dr. Stan

Dr. Stan

Ophthalmologist

905 satisfied customers

Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon

Dr. Stevens

Dr. Stevens

Ophthalmologist

629 satisfied customers

Board Certified Ophthalmologist

Dr. Susan

Dr. Susan

Ophthalmologist

217 satisfied customers

Board Certified & Fellowship trained eye surgeon.

Dr. JP

Dr. JP

Ophthalmology, Oculoplastic Surgery

28 satisfied customers

Harvard Medical School, Massachussetts Eye and Ear

Dr-Trace

Dr-Trace

Board Certified Ophthalmologist

26 satisfied customers

Board Certified in General Ophthalmology

Dr. Daniel Jewelewicz

Dr. Daniel Jewelewicz

Board Certified Ophthalmologist

11 satisfied customers

Glaucoma Specialist, Associate Professor FAU, Teaching Faculty Bascom Palmer Eye Institute

< Previous | Next >

Related Eye Questions
Adverse conditions of Glaucoma preventive drops. Nothing yet
Adverse conditions of Glaucoma preventive drops. JA: Have you seen a doctor about this yet? What medications are you taking? Customer: Nothing yet. JA: Anything else in your medical history you think … read more
Dr. Rick
Dr. Rick
Board Certified MD
11,654 satisfied customers
I have a prescription for glasses. They say I have 20/25
I have a prescription for glasses. They say I have 20/25 vision. my OD sphere 0.00 cyl -0.25 axis 100 OS sphere +.025 cyl -1.00 axis 060. Do I need glasses? … read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,570 satisfied customers
What are the stages of glaucoma? I have seen at least two
What are the stages of glaucoma? I have seen at least two lists online as though they are redefining things. I moved and went to a new specialist. He said I have Stage 4 Glaucoma. Is that the worst st… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,570 satisfied customers
Recently had an eye exam & new glasses, however just started
Recently had an eye exam & new glasses, however just started with having a type of cobweb, or occasional feeling of some obstruction or as if something is in the right eye. But no particles there, wha… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,654 satisfied customers
65 yr old male with glaucoma. Taking dorzolamid twice a day,
65 yr old male with glaucoma. Taking dorzolamid twice a day, and Latanoprost once at night. Also tapering off klonopin. Down to .25 mg twice a day. I am in the third week of tapering. Eyes are dry, so… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
I see through cracked glass only in the morning goes away
I see through cracked glass only in the morning goes away after a short while is that a retnal detachment … read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
I have glaucoma, pressure in both eyes has been 12 to 15 for
I have glaucoma, pressure in both eyes has been 12 to 15 for last five yrs, and no nerve damage. Almost 2 1/2 mos ago I had laser surg to remove cataract on my rt eye. Ever since surg, press in rt eye… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,092 satisfied customers
The last time I got glasses my doctor said I have the
The last time I got glasses my doctor said I have the beginnings of cataracts. He said it won't affect me for a while. I'm wondering if lasic eye correction would help with that. Let me know if this i… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,654 satisfied customers
Trying to determine if I can have a glass of wine this
Trying to determine if I can have a glass of wine this evening? Had cataract surgery early this morning... … read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
764 satisfied customers
Is their such a thing as "mild case of glaucoma"? Not that I
not that I canthink of, execpt age (75) - Dr.told me the above because of high ocular pressure , 1st time 27 was highest, at last visit/tests, he did scope and said 19 and 24 to the tech … read more
Dr. Rick
Dr. Rick
Board Certified MD
11,654 satisfied customers
I went to get a glasses prescription filled at Costco. The
I went to get a glasses prescription filled at Costco. The optician there measured my PD at 30.0 (right eye) and 30.0 (left eye). The following week I went to my eye doctor to have them verify the pre… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,654 satisfied customers
I have glaucoma and experiencing lights in my peripheral
I have glaucoma and experiencing lights in my peripheral vision in my left eye, lasts about five minutes, is it due to lights in office at work and working on a computer or when I concentrate. just ha… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,277 satisfied customers
I have glaucoma and use dorzalamid and latanoprost to keep
I have glaucoma and use dorzalamid and latanoprost to keep my eye pressure down. I just started taking sertraline. Is the sertrailine going to interact with the eye drops. Also, I am getting dry, sore… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
Just received my new progressive lense glasses. I have been
Just received my new progressive lense glasses . I have been wearing progressive lenses for over 20 years wo any problem. The frames were always!!! Set at the top of my nose bridge with frames tight s… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,654 satisfied customers
I need my eye glass prescription that I had done at a school
I need my eye glass prescription that I had done at a school out of my current state, but they refuse to give me the numbers over the phone … read more
Dr. D. Love
Dr. D. Love
Doctoral Degree
10,394 satisfied customers
My glaucoma pressure rose to 40. My Dr. tried many drops and
My glaucoma pressure rose to 40. My Dr. tried many drops and all failed to lower my pressure. He then said I was going to need surgery to place a shunt in my eye. my pressure went from 40 to 2 after t… read more
Dr. Longo
Dr. Longo
Optometrist
Doctor of Optometry
42 satisfied customers
I have Glaucoma, 60 years old and have a halo in my left
I have Glaucoma, 60 years old and have a halo in my left eye, with what seems like a kind of swirling effect. … read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,570 satisfied customers
I got recently a new prescription for my glasses, so I was
I got recently a new prescription for my glasses, so I was wondering why my vision gets blurry and my eyes heavy when I work at computer more than half an hour, and while this varies throughout the da… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,654 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x