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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11319
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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My eyes started being constantly for the past 5 weeks.

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my eyes started being constantly for the past 5 weeks. they're the clearest when I first wake up, then they start turnning redder as the day passes. I use Latanoprost and Brimonidine tartrate in bothe eyes at bedtime. I also use the Brimonidine Tartrate when I wake up. I've had glaoucoma for 14 years. My doctor has had me on the Latanoprost for 14 months. I know the side effect is red eyes, but I haven't had this problem before.
Dr. Rick :

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

Dr. Rick :

One of the side effects of latanoprost is redness of the eyes, so this may be part of your problem....but you already know this.

Dr. Rick :

Alphagan P, however, helps with redness......

Dr. Rick :

The redness from Xalatan can occur at any point during the use of the medication and, while it looks bad, it is not a sign that anything is wrong.


You say that Alphagan P will help. Does it just clear them a little or a little more?

Dr. Rick :

Now, if it is not your glaucoma meds causing this issue, it could be that you are suffering from an anterior segment/ dry eye condition. This is very common and, luckily, can be treated at home with a simple home therapy. Let me tell you a bit about this:

Dr. Rick :

The alphagan P tends to blanch the blood vessels on the conjunctiva to some extent by constricting the vessels. It, most likely, is not enough to fight the redness that xalatan can cause.

Dr. Rick :

Many times, for all sorts of reasons, 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.

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 :

since Xalatan does such a great job of lowering your IOP I would suggest continuning to use it.

Dr. Rick :

Does this answer your question to your satisfaction?

Dr. Rick :

I see that you are typing and that could mean a couple of things: 1. you are actually typing or, 2, the chat system has frozen up. I'll give it a few more minutes and if I've not seen anything from you I'll switch over to the Q&A system. That system works a lot like 'text messaging' but, unlike the chat system, it almost never freezes up. We can continue to work on your question there. :o)

Dr. Rick and other Eye Specialists are ready to help you
Customer: replied 4 years ago.

I like the answer, and i will try them. Thank you

My pleasure. Have a good evening.
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