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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11363
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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I have a problem with my eyes for years already, but no one

Customer Question

I have a problem with my eyes for years already, but no one could help me so far.
My left eye is perfect. With my right eye I can’t see too far.
I went to many opticians to have it checked, some say it’s a lazy eye some say it’s not at all a lazy eye.
My problem is that both eyes are hurting a lot of times.
Sometimes only a bit but most of the times it starts of with hurting a bit and it gets more during the day. Sometimes by the evening I have no choice only to go to sleep because it really hurts.
I will give you a few examples when it hurts.
When I’m very hungry, or it’s a hot day and I was walking on the sun for a long time, or I get up and it’s very light in the room because the lights are on, or when I get up very early, sometimes it just starts middle of the day no idea why.
Most of the times when my eyes are hurting I have also a headache
I would really appreciate if you could advice me what I could do about it.
Submitted: 5 years ago.
Category: Eye
Expert:  Dr. Rick replied 5 years ago.
Dr. Rick :

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

Dr. Rick :

It sounds like you have an issue with the anterior segment of your eyes. This is most commonly caused by a combination of things such as dry eyes, allergies and blepharitis.

Dr. Rick :

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 :

Does this make sense to you?

Dr. Rick :

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Dr. Rick :

I see that you are offline. We can use the Q&A system to 'text message' each other. An email will be sent to each of us every time something is posted to this thread.

Expert:  Dr. Rick replied 5 years ago.
Let me know if there are there any other concerns or issues you would like to discuss on this topic.
Customer: replied 5 years ago.
I'm very sorry for the late reply.
I see that this problem can have many causes, so I would really like to talk it thru with an expert. Could you point me to the right direction with who I should speak to?
Expert:  Dr. Rick replied 5 years ago.
Don't worry about how long it takes for you to reply....I don't go up in a puff of smoke after a certain amount of time :o)
Where in the UK are you located? Moorfield's eye hospital in London is one of the best, ***** ***** the best eye care facilities in the world. Any of their docs would do an excellent job.
As far as chatting online I think the home therapy I discussed above should help. I'd give it a few weeks and if you haven't noticed an improvement try to see an ophthalmologist (eye MD), not an optometrist or an optician.
Does that make sense?
Expert:  Dr. Rick replied 5 years ago.
I'm still here if you would like to discuss this further. Or, if you would like, I could "opt out" and you could speak with one of the other ophthalmologists who work on JustAnswer. Let me know you would like to do.