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Hi. I'm online and happy to answer your question today.
Were you seen by an ophthalmologist or an optometrist?
Ok. Well, from what you have posted this may not be episcleritis and in any event maxitrol is not the treatment of choice if it was.
can you upload a picture of your eye and eyelids?
I'd only use steroids for severe or prolonged episcleritis that was not responding to other therapy...
not at this time Dr. I was given the generic version via walmart. my swelling seems worse in the morning and goes away during the course of the day with a cold compress every so often. even the bubble on the sclera goes down. but it always comes back every morning
Ok. Without seeing you or a picture, I am at a disadvantage but this sounds more like an anterior segment/tear film/allergy/blepharitis issue.
If that is the case, the generic maxitrol won't work...which is what is going on.
Would you like to try a different therapy with an easy home treatment that will address dry eyes, allergies and blepharitis all at once?
I think it will work.....let me know and I can tell you about it.....it's just a lot of typing :)
im looking for my camera charger
let me type this information for you while we wait so you will have it if needed.....
my biggest concern is this blister on my eyeball
and now the swelling of both lids
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.
This does not sound like episcleritis. It sounds like what I have outlined above.
I was thinking allergic conjunctivitis to be honest what do you think of that
The blister on your eyeball is most likely a conjunctival cyst from you immune reaction. The above home treatment should work
Does this make sense to you?
what do I have to lose
why would my Dr say it is episcleritis
Not sure. Everyone makes mistakes. Of course, I can not examine you but, from how you have responded to therapy and what you have posted, that is not what I think you have
Of course, the best thing to do would be to have another exam but, as you said, that is expensive. I think this is a less expensive alternative that should make you feel better.
Do you think this would be helpful?
i can try it. i wash my face regularly tho
Washing you face is a totally different thing.....
Give this a try, OK?
I know that we have discussing this for quite some time now and have covered a lot of things but, with time and this therapy -- as low tech as it sounds -- I really think you will get better. You can stop the maxitrol if you want.
i cant find my camera charger
Having 5 children I know exactly what you are going through....
I can't find anything around my house.........
but I will try it. can you elaborate on the whole puncta
That is just a way to plug off your tear ducts......I do not think that will apply to you.
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hey Dr rick. I am still experiencing the same issues and even worse at times
Optional Information: Person's Gender: Male Person's Age: 28Already Tried: I have been experiencing an extremely swollen red eye on my right side. I have a cyst on the conjunctivia or sclera. I saw an opthalmologist who diagnosed it as episcleritis and perscribed maxitrol steroid drops for ten days and then to cease use. Dr Rick on just answer said it was blepharitis and told me warm compress and to wash the lids with baby shampoo and to use artificial tears. it felt as if it was getting better but it has now come back with avengence. The eye feels sore when moving