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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11303
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I was recently diagnosed with a varicous vein in my left

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i was recently diagnosed with a varicous vein in my left eye, following a brain scan and investigation of a freckle near my retina in left eye also. Now some months later, for the past week, I have stinging, and watering in my left eye. I also have discomfort in left eye in particular on waking and a feeling of a foreign object in both eyes but more particular in my left eye. I am wondering is this in any way related to the varicous eye vein, or is it just a coincidence, or did my eye specialist mis- diagnose my condition.? Initially it was thought that I had a tumor on my retina. Help!
Submitted: 6 years ago.
Category: Eye
Expert:  Dr. Rick replied 6 years ago.
Hi. I'm online and happy to answer your question today.
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Expert:  Dr. Rick replied 6 years ago.
Pigmented lesions are common in the retina and only a small number of them ever end up being a tumor. I am not sure what you are calling a varicose vein inside your eyeball, but neither this vein abnormality or a pigmented lesion would normally require a brain scan to work up or diagnose....that would be done by your ophthalmologist or retina specialist.
Expert:  Dr. Rick replied 6 years ago.
Thanks for paying me sure are a trusting soul :o)
Now. I really owe you a good answer, eh?
Expert:  Dr. Rick replied 6 years ago.
I do not believe your stinging, foreign body sensation is related to your other condition, it sounds like this could be from a couple things, all working together to make your eye feel like this.
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 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.
Does this make sense to you?
Expert:  Dr. Rick replied 6 years ago.
My screen shows you are online. Are you available? Let me know if you would like to discuss this topic in more detail.
Customer: replied 6 years ago.
the brain scan was just requested by my optical consultant as a precaution as the "freckle" was picked up when having an eye test. I had been having some discomfort in the temple near my left eye.

The scan was clear. My consultant thought the problem in my temple was a medical problem, put down to stress. I was sent by my consultant to another optical expert
for a second opinion. It was he who said I had a varicous vein in my left eye and had nothing to worry about. All was fine for some 9 months until my current symptoms of stinging , watering and a feeling of a foreign body in particular in my left eye. I am now wondering is this connected to my previous diagnosis or is it a different problem? What do you think is the cause?
Customer: replied 6 years ago.
Relieved to hear you do not think it is related to initial problem. However, I do not feel that my eyes are dry and do not understand "temporary punctal occlusion". I find it hard to believe that there is "gunk" in lids but I will try the eye drops and wait and see if things improve. Thank you.
Expert:  Dr. Rick replied 6 years ago.
My pleasure.....and "gunk" is a complex medical term so don't worry if it confuses you lol!
Temporary punctal occlusion is done with collagen plugs placed inside your tear drainage channel. They dissolve slowly over a couple of weeks...