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Ask Dr. A.S. Desai Your Own Question
Dr. A.S. Desai
Dr. A.S. Desai, Ophthalmologist
Category: Eye
Satisfied Customers: 2437
Experience:  MS Ophthalmology with 13 years of surgical expereince
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Patient with macular degeneration has dry eye cannot hold

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patient with macular degeneration has dry eye cannot hold eye lids open itchy has tried several eye drops perscription and oc took antihimiene nothing works 87 yr old female diabetic patient what treatment could do you think help
Dr. A.S. Desai :

Hello, Welcome to Pearl.com


Dr. A.S. Desai :

Are you available for chat now?


Customer:

yes


Dr. A.S. Desai :

What are the eye drops that you have tried so far?


Customer:

patanol refresh systane systane ultra


Dr. A.S. Desai :

If routine lubricating eye drops have not helped then you can consult a cornea specialist so as to get the cornea evaluated in detail under slit lamp . In diabetes the superficial layer of the cornea may undergo recurrent erosion thus giving rise to such symptoms.


Dr. A.S. Desai :

For moderate to severe dry eyes which do not respond to routine line of treatment , punctal plugs are tried. Here silicone plugs are inserted into the tiny openings in the eyelids through which tears normally flow out.


Dr. A.S. Desai :

This will help the eye to retain the existing tear film thus giving relief from dry eyes.


Dr. A.S. Desai :

Itching can be seen in case of blepharitis apart from allergic conjunctivitis.


Dr. A.S. Desai :

Blepharitis is treated with warm compresses twice a day, gentle lid scrub and massage with 50:50 diluted baby shampoo ( applied to the lid outer margin with the help of a Q-tip).


Dr. A.S. Desai :

Is there anything else that I can answer for you in this regard?


Customer:

if this were to be the case what would the treatment be

thank you hopefully this will work than you


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