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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11267
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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Dr. Rick ONLY-:My eyes get watery at the end of the day and

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Dr. Rick ONLY-:
My eyes get watery at the end of the day and my nose starts to run....


My name is XXXXX XXXXX I am the Moderator for this topic. Dr. Rick is not available right now, but I have sent him a message to follow up with you here, when he comes back online. If I can help further, please let me know. Thank you for your continued patience!


Customer: replied 4 years ago.

I will wait for Dr. Rick.

Thank you.


Hopefully it won’t take too much longer Thank you for your continued patience.


Hi. I'm online and happy to answer your question today. Sorry for the delay....I'm on another snowmobile trip but, at least this time I've hauled my laptop along with me :)

It sounds like you are suffering from an anterior segment/tear film issue. 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.

I understand that this treatment seems a bit "too low tech" to be of value, but after 2 decades of clinical practice, I can assure you (even from personal experience :) that it, does indeed, work.

When your eyes are "dry" and irritated they make more tears....this is the "something is in my eye" mode of tear production, not the "my eye feels fine and I'm making tears to keep things moist" mode. The use of natural tears will help your eye turn off the flood of "something in my eye" tears that comes from your eyes being dry. Does this make sense?

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
Customer: replied 4 years ago.

GREAT, GREAT advice, Dr. Rick--my hubby has ad bleph, and he is gonna do his baby shampooing in shower, as you recommended....i tried the drops today, and thagt was EXTREMELY useful--so i am going to put a bottle near computer as well as carry one w/me-Do the 'tears" have tto be non-preservative ones, or can i use Theratears? How abpout contact lens drops (when my lenses are in; DUH!)--just as useful?

Again, MANY, MANY thanx for an answer well-worth waiting for.


P.S. Glad you had your laptop--hope you had a good time, you snow baby, you! Cool

Theratears are just fine.

Yes, the contact lens drops are OK too.

I must admit, the internet access sucks up here....really, really slow. And the darn computer hurts my back a bit on the long, bumpy trails (men like to whine, 'ya know :)

I'm heading back toward home in a few day as the weather is warming up and I need to get home before the snow melts out from under my sled. :(

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.
Customer: replied 4 years ago.

Hi, Dr. Rick-:

I hope you are home now(or will be soon--), and comfortably reading this!!

The drops are REALLY helping: remembering to blink helps as well!! I will start another question soon, relating to the hip pain, but i want to take a photo of "the area," where it hurts(but it hurts in spots that there are NO marks, mostly--)....and so that will involve a "new question!!!!"

In the meantime, soak up the heat!!!! Cool


Heading home tomorrow....

Don't forget to mash the feedback button -- it is good for your eyes :)
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11267
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
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