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Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3343
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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My 87 year old husband does not have a red eye but the rim

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My 87 year old husband does not have a red eye but the rim under his left eye is red.

Doctor DanB : Hello and thanks for your question. There are a couple of possibilities here.
Doctor DanB : First, it's possible that he is having an intolerance to the Betimol and it is causing this redness. If this is the case, it may help to stop this drop and switch to another. Unfortunately, there's no way for sure I can know this without examining him,most he is going to have discuss this possibility with his ophthalmologist.
Doctor DanB : Second, it's possible that he may have an inflammation of the eyelids called blepharitis. However, usua
Doctor DanB : Usually blepharitis affects both eye's lids fairly symmetrically. Lastly, it's possible that he may have misalignment of the lower eyelid called an ectropion, where the lower lid starts to fall away from the eyeball itself (sometimes this can be happening without any obvious separation from the eyeball). His ophthalmologist is going to be able to determine whether this is the case or not as well, because it require an exam of the eyelid to determine this. Does this make sense?

The doctor said he has dry eyes and that is what the cream was for. Is there anything I canbuy OTC to help this?

Doctor DanB : If he has dry eyes then it is very likely due, at least in part, to blepharitis. In that case, here's a regimen he can follow on a daily basis that can help him: everyday in the morning you should do two things: 1. hot compresses and 2. eyelid scrubs. You should do hot compresses for 5-10 minutes over each eye at the same time. It should be as hot as you can tolerate without burning your skin, massaging the eyelids while they are on there. Then, use either commercially available preparations or a dilute baby shampoo solution to scrub your eyelashes on all 4 eyelids. The commercially available preparations are called Ocusoft or Sterilid which are both over-the-counter eyelash scrubbing treatments. These cost more money but are quicker to use. Otherwise, the cheaper alternative is the dilute baby shampoo (4-5 drops Johnson's shampoo in 1/4 cup warm water), you will take the wipe (or dip a qtip in the dilute baby shampoo solution) and use that to scrub right on the eyelashes of each eyelid for 15 seconds. That will take 60 seconds when done to all 4 eyelids. The scrubbing is done right on the eyelid margin, where the eyelashes come out. After that, just splash some water on the eyes and you're done. It does take about 3-4 weeks of doing this consistently every day before it really kicks in, so don't stop it thinking it's not working. Also the eyes are still significantly dry during this 3-4 weeks so I would recommend using artificial tears 4x/day in both eyes (one drop per application). After 4 weeks you should be able to start tapering off of the tears to as you need them. Just doing the artificial tears, hot compresses and eyelid scrubs alone would likely start to help you after three or 4 weeks--but remember it could take this long of doing it everyday before you see a significant effect, so don't stop it thinking it's not working. 
Doctor DanB : Does this make sense?

Yes, I have been down this road before myself. Is there any drops I could use to help this as my husband has dementia and the washing would be very difficult with him.

Doctor DanB : Really the best drops are going to be preservative-free artificial tears like Systane or Refresh. But he could also benefit fom using a lubricating eye ointment such as Refresh PM or Lacrilube in the eye every night.
Doctor DanB : Do you have any other questions about this? 

Could I do this instead of the scrubbing?

Doctor DanB : Yes, you could try this and see how this goes, but I would try and at least see if he can do the warm compresses in that eye once a day for 5 minutes. It's easier for someone with dementia to tolerate and it's going to help more than just doing the tears and ointment alone.

Thank you for your kind answers as I just didn't know how to handle this one.

Doctor DanB : My pleasure. Good luck. Your feedback is important to me and will help me improve my encounter with future customers.  Please rate your encounter with me by providing positive feedback (by pressing the smiley face); any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated.  If you feel like your concerns are not resolved or you have a problem or issue with anything I have said or haven’t said, please don’t issue a negative feedback rating—My goal is your satisfaction and I would rather work together to solve your concerns, until you are satisfied, than have you leave our encounter unhappy and unsatisfied.  My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor. Thanks for your inquiry! 
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Customer: replied 4 years ago.

Dear Dr.DanB, You did a splendid assesment of my husbands problem and mine too, knowing that he has Dementia. Your instructions for putting the warm water on the eye for just 5 minutes a day, did the job. I stopped the eye drops for Glocoma for just the first day and this morning all looks good even after using the drops. It's so refreshing to have a doctor who explains things. God bless you sir.


I'm so happy it was helpful advice. Good luck to the both of you. Thank you for your kind words.