Eye

Ask an Eye Doctor and Get an Answer ASAP

Ask a Doctor,
Get an Answer ASAP!

Eye
This answer was rated:

I went to an eye surgeon in 2011 for a check up to discuss

cataract surgery which I had...
I went to an eye surgeon in 2011 for a check up to discuss cataract surgery which I had in Januay 2012. At that appt in Nov 2011, the had me take out my RGP lenses-I had my glasses with me too. She said I could put them back in or use my glasses. She asked if the Rx was the same and I said similar but that I could see out of my contacts better. She had me read with the glasses. The tech kept telling to me keep trying on the eye chart like she didn't believe I couldn't read it (I was 55 at the time and my visiion was about -7.75 both eyes) I eventually started crying because I was trying so hard I was in a sweat. She finally looked up from whatever she was reading. She was putting drops in my eyes. I asked if any of the drops were dilating drops and she said yes. I asked if she read in my chart that full strength drops were too strong and I'd end up with a migraine and not see clearly for about 10 hrs. She rushed over and got some other drops and put those in my eyes then. The Dr eventually came in and told me about the different implants. He also said I'd have to wear just my glasses for possibly several months-checking every 4 weeks until my eyes were ready.
That very night(about 12 hrs after the exam) I woke up during the night and couldn't open my eyes as my eyelids felt like sandpaper on very dry eyeballs. I was scared and kept yawning and trying to water up my eyes. Eventually I was able to painfully open them and put some of my contact solution in them as I didn't have any drops. I'd NEVER had symptoms of dry eyes before. I could wear my RGP contacts comfortably for 14 hrs. I'd worn just my glasses before for several days, even recently at that time and never had my eyes feel anything like that. Anyways, I was given all kinds of OTC drops to try. No one seemed to listen that this had never happened before-they just said it was because I wasn't weaing my contacts anymore. Doesn't make sense. And then I noticed that at the top of my eyelids, my eyes would ache like a toothache.
After my eye surgeries (the result was not what I was told-he didn't get the implant Rx correct), my eyes continued to be very sensitive especially after the steroid drops were discontinued (I was put on stronger drops because of the pain). I was eventually put on Restasis and that very first night, I could open my eyes without the lids feeling like sandpaper, but the dryness continues. I go for days feeling like more corneas are irritated. I think something happened at that first appt that injured my tear glands. Any ideas. Any other treatments. No OTC products help much-they only feel good the first few minutes while the moisture is there. I can't even use the shampoos and face cleansers that I'd used for years. By the way, I'd worn RGP contacts for 42 yrs-never a problem. Now I've been trying all kinds of soft lenses along with readers, although I was told they were going to make it so I'd "never have to wear contacts or readers again" HA!
Show More
Show Less
Ask Your Own Eye Question
Answered in 10 hours by:
3/16/2013
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,453
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Verified
Dr. Rick :

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

Ask Your Own Eye Question
Nancy,
Thank you for that very extensive post.
I can tell you, with 100% certainty, that your dry eye problem was not caused by the drops the nurse put in your eyes back in 2011. This is just not possible.
I am sorry to hear about all the difficulties you are currently having due to the dryness of your eyes. There are, however, other things that can be done to help you in addition to using drops.
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.
You most likely also have blepharitis. This is very common.
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.
Is there anything else you would like to discuss at this point or have all your questions been answered to your satisfaction?
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. And please let me know if the rating system gives you any troubles.
Thanks in advance,
Dr. Rick MD FACS
Ask Your Own Eye Question
Customer reply replied 4 years ago

How could this had gotten so severe so quickly when I'd had absolutely so symptoms until hours after that eye exam. Also, why did my vision come out wrong? I have always used baby bath to wash my face and eyelids but will try the warm compresses.

Nancy,
That is an excellent question and, to tell the truth, I don't know why you all of a sudden started noticing so much difficulty after that eye exam. :(
I can tell you, however, that after almost two decades of clinical practice I have had patients have the same experience you had.....it might be that the drops were the "straw that broke the camels back" and tipped you over into having problem.
As to your vision, it is not unusual for dry eyes and recently removing contacts before a refraction leading to glasses that don't work so well, hence the idea of keeping them out and making sure your eyes are in good shape prior to a refraction for now glasses.
It's safe for you to press the positive feedback button now if you so desire. And, never fear, even after you press that button I don't go up in a puff of smoke -- I'll still be right here to continue helping you, but, as I do work for tips, I want to make sure you are happy before rating me.
I hope you feel better soon. Have a good weekend.
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,453
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Verified
Dr. Rick and 87 other Eye Specialists are ready to help you
Ask your own question now
Ask Dr. Rick Your Own Question
Dr. Rick
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11,453
11,453 Satisfied Customers
Experience: Ophthalmology since 1994 with Retina sub-specialty interest

Dr. Rick is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Dan B.

Dr. Dan B.

Board Certified Ophthalmologist

3,334 satisfied customers

Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology

Dr. Stan

Dr. Stan

Ophthalmologist

905 satisfied customers

Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon

Dr. Stevens

Dr. Stevens

Ophthalmologist

629 satisfied customers

Board Certified Ophthalmologist

Dr. Susan

Dr. Susan

Ophthalmologist

217 satisfied customers

Board Certified & Fellowship trained eye surgeon.

Dr. JP

Dr. JP

Ophthalmology, Oculoplastic Surgery

28 satisfied customers

Harvard Medical School, Massachussetts Eye and Ear

Dr-Trace

Dr-Trace

Board Certified Ophthalmologist

26 satisfied customers

Board Certified in General Ophthalmology

Dr. Daniel Jewelewicz

Dr. Daniel Jewelewicz

Board Certified Ophthalmologist

11 satisfied customers

Glaucoma Specialist, Associate Professor FAU, Teaching Faculty Bascom Palmer Eye Institute

< Previous | Next >

Related Eye Questions
I see through cracked glass only in the morning goes away
I see through cracked glass only in the morning goes away after a short while is that a retnal detachment … read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
Can a Technis ZLB00 lens be defective? I am having double
Can a Technis ZLB00 lens be defective? I am having double vision when looking out the side of my eye to the left. Looking straight on, the vision is almost sharp, but as I turn my head to the right, a… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,453 satisfied customers
I've been taking drops for dry eye xiidra. The vision itself
the vision itself is fine, i can't open them or have to close them shortly thereafter … read more
Dr Stan
Dr Stan
DO
2,264 satisfied customers
The last time I got glasses my doctor said I have the
The last time I got glasses my doctor said I have the beginnings of cataracts. He said it won't affect me for a while. I'm wondering if lasic eye correction would help with that. Let me know if this i… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,453 satisfied customers
Trying to determine if I can have a glass of wine this
Trying to determine if I can have a glass of wine this evening? Had cataract surgery early this morning... … read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
729 satisfied customers
I went to get a glasses prescription filled at Costco. The
I went to get a glasses prescription filled at Costco. The optician there measured my PD at 30.0 (right eye) and 30.0 (left eye). The following week I went to my eye doctor to have them verify the pre… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,453 satisfied customers
I had cataract and lens replacement surgery last Feb. part
I had cataract and lens replacement surgery last Feb. part of cataract fell inside eye and required a second surgery 2 days later. I now have double vision that becomes clear about 1 in 20 blinks,have… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,622 satisfied customers
Thursday AM i woke up with a dry eye that was red in the
thursday AM i woke up with a dry eye that was red in the inner corner. friday morning i woke up and it was still red so i used some dry eye drops. it was better friday night and the redness had subdue… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,857 satisfied customers
I need cataract and HD lens procedures to edone as per eye
I need cataract and HD lens procedures to b edone as per eye doctor recommendation. … read more
Dr. Rick
Dr. Rick
Board Certified MD
11,453 satisfied customers
I have dry eye syndrome, but I think I have allergies now. I
.I have dry eye syndrome, but I think I have allergies now. I took a steroid/antibiotic twice, but as soon as I go off, the symptoms come back, and now instead of my eyes being very dry, they are wate… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,453 satisfied customers
I have severe dry eyes; I have to use drops every two or so
I have severe dry eyes; I have to use drops every two or so hours. Is there any procedure that I can undertake that would help? I had PRK surgery a few years back, but the dry eyes preceded the surger… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
If I have dry eye syndrome, but I desperately need to take
If I have dry eye syndrome, but I desperately need to take one or two 25mg doses of Atarax in order to break my string of sleepless nights, should I be concerned that it could worsen my symptoms irrep… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,622 satisfied customers
This is for a optomologist..i ahve dry eye disease for along
this is for a optomologist..i ahve dry eye disease for along time now but about a month but use all kinds of drops for that. i kept feeling something in the white of my eye which is kinda on the side … read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,570 satisfied customers
I have to have a new lens placed in right eye, and have to
and have to have the left eye lens stitched to prevent falling … read more
Dr. Rick
Dr. Rick
Board Certified MD
11,453 satisfied customers
I had a cataract on right eye with lens inserted July 2014.
I had a cataract on right eye with lens inserted July 2014. Since then I have been to 4 optomotrist to have eyes checked and can't solve the problem. I read with the glasses they prescribed and after … read more
Dr. Rick
Dr. Rick
Board Certified MD
11,453 satisfied customers
Have dry eye with plug in eye something over my eye causing
have dry eye with plug in eye something over my eye causing me not to see good … read more
Spencer Chun
Spencer Chun
Board Certified Family Medicine MD
MD
7 satisfied customers
I have had a terrible several weeks and a second refraction
I have had a terrible several weeks and a second refraction done last week. I finally got a answer. The problem is BLEPHARITIS. I am taking medication.NEO/POLY/DEX OPHTH SUSP 5MG--ONE DROP IN AFFECTED… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,453 satisfied customers
I have developed dry eyes/blepharitis and retinal hole
HelloI have developed dry eyes/blepharitis and retinal hole (fully-operculated). This was all checked out by ophthalmologist and retinal specialist and treated accordingly.I have a question specific t… read more
Dr. Rick
Dr. Rick
Board Certified MD
11,453 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x