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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11358
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I have an artificial left eye(since childhood) and have

Resolved Question:

I have an artificial left eye(since childhood) and have always cleansed the eye,especially in the morning. I have used collyrium for that purpose. I also use a cotton ball and collyrium to wipe the seeing eye. Lately I have had blurring--especially upon awakening--in the good eye,and often need to wipe tearing and escess from that eye in the morning. I also am experiencing some pain around that socket.
Submitted: 6 years ago.
Category: Eye
Expert:  Dr. Rick replied 6 years ago.
Dr. Rick :

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

Dr. Rick :

It is possible that you are suffering from a couple of thing that, together, are giving you symptoms in your remaining eye.

Dr. Rick :

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 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, 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.

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 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.

Dr. Rick :

The above are some home treatments that you can try that will have a good chance of making things better. It is not, however, an instant fix....I'd give it at least 3 or 4 weeks to kick in....

Dr. Rick :

does this make sense to you?

Dr. Rick :

Hi. I see you are in the chat room, but I can't see anything you may be typing. Perhaps the system has frozen up.

Dr. Rick :

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Expert:  Dr. Rick replied 6 years ago.
I am still here if you would like to discuss your issue further. Just type and send, kinda like text messaging.
Customer: replied 6 years ago.
Can what you have described cause the aches above the eye.?
Expert:  Dr. Rick replied 6 years ago.
If the general area is irritated you can experience aching around the orbital area. Another common cause of ache is sinus issues, but you didn't mention anything about problems in that area....although, of course, allergic processes do affect the sinus'
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