How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Dan B. Your Own Question
Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3343
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
Type Your Eye Question Here...
Dr. Dan B. is online now
A new question is answered every 9 seconds

I've been blinking a lot for about 4 months now. I've tried

This answer was rated:

I've been blinking a lot for about 4 months now. I've tried different drops which may soothe the condititon a little but don't stop the blinking. I can find no reason - they don't feel particularly dry or sore. Any help please?
Doctor DanB : Hello and thanks for your question. Are you available to chat?



Does he ask me questions?

Doctor DanB : have you had an exam by your eye doctor for this yet?

yes - the optician. She could find nothing particularly wrong with my eyes

Doctor DanB : There are two reasons why an eye may blink a lot. The first is because there is some inflammation either inside or on the outside guy. The second reason is because the eyes are dry or the surface of the eyes roughened. Surprisingly, this can occur without the eye feeling dry at all. 

As the drops don't help, have you any other suggestions. The condition is really tiresome!


I'm taking 20mgs amytriptyline and 150 mgs pregabalin daily for peripheral neuropathy which demonstrates as burning on the soles of the feet. Could the eye blinking be related?

Doctor DanB : Generally the eye doesn't suffer from peripheral neuropathy. The symptoms of an eye that is watery and that wants to close are indicative of an irritated and inflamed eye that is extra-sensitive to the environment. There can be many reasons for an eye to be dry. This can range from a viral conjunctivitis (usually follows an upper respiratory infection or exposure to someone with a cold or red eye) and can cause irritation, mattering, tearing, burning or sensitivity to light and these symptoms usually then spread to the other eye. Allergic conjunctivitis is usually distinguished by significant itching, but this can also be associated with watering and sensitivity. I suspect that you have dry eyes with inflammation. If there is tearing associated with this, it is difficult to understand why the eyes may be dry when they tear: the tearing is a reflex in response to dry eyes that is not sufficient to hydrate the eyes as they need to. When there is inflammation in the eyes and/or eyelids, this is usually from what's called blepharitis, which is inflammation of the eyelids and glands in the eyelids. The eyelids are key players in making a layer of tears that coats the surface of your eyes called a tear film. The inflammation that is blepharitis keeps the eyelids from making that tear film as healthy as it needs to be and so the eyes dry out. Also because there is inflammation in the tears because of the blepharitis, there are bacteria pooling in your tear film. Often times an antibiotic +/- steroid drop or ointment is used to help kill the bacteria. This therapy is usually only used in a pulse fashion, to start out the treatment and then only used when there are flare-ups, not on a regular basis for most people. However, treating this with a steroid drop for a few days is not enough to treat this entire problem, it is usually just an adjunctive measure combined with the baseline treatment as I state below. The baseline treatment for blepharitis and what I think you should start doing, is everyday in the morning you should do two things: 1. hot compresses and 2. eyelid scrubs. You should do hot compresses for 10 minutes over the eyes, once daily.  It should be as hot as you can tolerate without burning your skin, massaging the eyelids while they are on there. Then, use either commercially available preparations (Sterilid or Ocusoft) or a dilute baby shampoo solution to scrub your eyelashes on all 4 eyelids. The commercially available preparations are both over-the-counter eyelash scrubbing treatments. These cost more money but are quicker to use. Otherwise, the cheaper alternative is the dilute baby shampoo (4-5 drops Johnson's shampoo in 1/4 cup warm water): you will take the wipe (or dip a qtip in the dilute baby shampoo solution) and use that to scrub right on the eyelashes of each eyelid for 15 seconds. That will take 60 seconds when done to all 4 eyelids. The scrubbing is done right on the eyelid margin, where the eyelashes come out. After that, just splash some water on the eyes and you're done. It does take about 3-4 weeks of doing this consistently every day before it really kicks in, so don't stop it thinking it's not working; often times combining this with the topical steroid helps to bring relief sooner. Also the eyes are still significantly dry during this 3-4 weeks so use artificial tears one drop in each eye, 4x/day. After 4 weeks you should be able to start tapering off of the tears to as you need them.In addition, don't use tears that say get-the-red-out or redness reliever on the package. The use of these kinds of tears will actually worsen a red eye if used for more than 1-2 days and then the eyes can stat red from this for up to several weeks after they are stopped.  Just doing the artificial tears, hot compresses and eyelid scrubs alone would likely start to help you after three or 4 weeks--but remember it could take this long of doing it everyday before you see a significant effect, so don't stop it thinking it's not working. Also you may need an antibiotic/steroid combination medicine to help augment the therapy. If after 3 weeks of diligent treatment you are better, but not completely normal, you may need to see your eye doctor to assess for other causes of dry eyes, as blepharitis is only one cause of dry eye. Many times dry eye patients have more than one cause of dry eyes (Restasis is an excellent treatment for those people with dry eyes because they don't make enough of their own tears). Each cause of dry eyes needs to be appropriately treated for your symptoms to resolve.If, after 2-3 weeks of doing this you see no improvement in your symptoms then I would suggest seeing an ophthalmologist as there may be inflammation that needs a steroid or antibiotic treatment to resolve.To what extent you've done these therapies, take this with a grain of salt. But it is important to know that if you have multiple reasons for dry eye and aren't treating ALL of them properly it may seem as though the treatments you are doing are ineffective, when they probably are necessary, just not enough on their own. 

This is a lot of information to take in. I will try to print it off and do as you suggest. I certainly don't get a lot of tears, but my eyes don't feel particularly dry, and there is no sign of redness or soreness.

Doctor DanB : I think your symptoms will improve as you try these suggestions. Do you have any other questions i can answer about this?

Only that the condition never gives up. It starts when I wake up and gets worse as the day wears on and is much worse when I go outside. Does this confirm symptoms for blepharitis?

Doctor DanB : Only an exam can confirm this but it sure sounds suspicious for it.

OK thank you. Could it be associated with the medicines I'm taking?

Doctor DanB : I am happy to be able to help you today. I will also be happy to answer any other questions until you have the information you need. Some medicines can contribute to this and the inserts on each medicine will indicate this. If you would be so kind, please help me get credit for my efforts in answering your questions and press the ACCEPT button for this encounter; this allows part of the funds that you have deposited to the website to be released for my efforts to assist you. This does not end our conversation, however-we can continue to discuss any of your concerns without further charges until you are satisfied. Any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated. Thanks for your inquiry! My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor.

I haven't been able to print out what you said. Do you know how I can find the information before before I finish accept?


Is the information sent via e-mail? I went on the Accept page then went back to print out your instructions - but they've all disappeared.


As I can't wait any longer I will ACCEPT again and hope that I will find the information on an e-mail.


I'm stuck here. I try to ACCEPT but


I'm stuck here. I try to ACCEPT but it tells me to wait for an answer before I can ACCEPT, so as you've gone offline I'll have to close the site and hope to continue another time. Thank you for the advice. I want to follow it and pay you accordingly.

Dr. Dan B. and other Eye Specialists are ready to help you
I will attempt to have the website send you the transcript of our chat on email.