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I am 70 yr old female, have had cataracts extracted from

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both eyes. Second surgery was...
I am 70 yr old female, have had cataracts extracted from both eyes. Second surgery was about 2 years ago. Vision was good, corrective lenses mostly for reading and driving. For the past 3-4 months when I have been reading and try to watch TV, I notice my eyes are having a lot of difficulty 're-focusing' on objects like across the room. Everything will stay blurry for even an hour or longer. Will new lenses help correct this problem? I am in Kosovo and will need to wait several months before I get to US again. I can see someone here for emergency, if necessary. Thanks. Marti
Submitted: 5 years ago.Category: Eye
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Answered in 7 minutes by:
2/18/2012
Eye Doctor: Dr. Rick, Board Certified MD replied 5 years ago
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,441
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
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Dr. Rick :

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

Dr. Rick :

First of all I do not think that your problem is an emergency.....

Dr. Rick :

It sounds like you are suffering from an anterior segment/tear film issue. Many times, as we get older, and especially after eye surgery, the anterior surface of the eye starts to have difficulties. What can cause this? Well, there are a number of conditions but the most common are dry eyes, allergies and blepharitis....many times all three conditions act together to make you miserable. In order to solve your problem you need to address all of these issues at the same time.


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 :

Also, as you said in your post, if possible in Kosovo, you might also want to just have your eyeglasses Rx checked as it, too, could be contributing to your problem....although I don't believe glasses are the entire issue.

Dr. Rick :

Does this make sense to you?

Dr. Rick :

Hi. My screen shows you are in the chat room. Is there anything else you would like to ask me?

Customer:

Yes, it makes sense and I will do as you suggest. Thank You.

Dr. Rick :

My pleasure. Have a good day.

Dr. Rick :

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Eye Doctor: Dr. Rick, Board Certified MD replied 5 years ago
Let me know if there is anything else you would like to discuss pertaining to this issue.
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,441
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
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