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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11353
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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It was suggested to me last week that I try Anterior Stromal

Resolved Question:

It was suggested to me last week that I try Anterior Stromal Puncturing along with PRK, for ongoing vision and irritation issues in my left eye. My history is that I had Lasix or a Lasix adjustment 3 times, and now the reading eye has lost its adjustment again, so I have to do something for the vision. Most recently, that flap was picked up again due to an accumulation of cell "debris" under it. I tried Restatis for a few months and found it irritating. I did get plugs in both eyes, which has helped with the discomfort.
I had never heard of ASP and frankly, it sounds kind of horrendous. I am so tired of dealing with this eye, so it you think it would help, I would consider it.
Thank you.
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 :

ASP is a tried and true treatment for recurrent corneal erosion syndrome, which you may be experiencing with all the flap problems you've had since your lasik. PRK also works for this condition.

Dr. Rick :

I do believe that, from what you have said, it should help you.

Dr. Rick :

You should also consider the possibility that you may have some component of blepharitis contributing to your tear film problems. For this I suggest baby shampoo lid scrubs.

Dr. Rick :

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.

Dr. Rick :

Does this make sense to you?

Dr. Rick :

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Expert:  Dr. Rick replied 6 years ago.
Let me know if there are there any other concerns or issues you would like to discuss on this topic.