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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11356
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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Have been diagnosed with allergies. Have been treat with eye

This answer was rated:

Have been diagnosed with allergies. Have been treat with eye
Drops for inflammation of eye for I month. And I was given cortisone
For inflamed eyelids and itchy red eyes with small bumps on eyelids
Went away and today is back with also bumps on my lower tongue
Am gluten free
Also arms broke out in slight rash
Hi. I'm Dr. Rick and I have two decades of ophthalmology experience. I'm online and happy to answer your question today.
As you have noticed, every time you stop the medicine, the problem comes back, sometimes with new symptoms.
There is a home treatment you can do that, I believe will help. Here is some information you might find useful:
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 and the use of a medication called restasis to improve your 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 is 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.
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. You may also receive an email survey after our chat, if you don’t feel that I have earned a “10” rating in all areas, please let me know what I can do to meet your expectations.
Thanks in advance,
Dr. Rick MD FACS
Dr. Rick and other Eye Specialists are ready to help you
Customer: replied 3 years ago.
Dear Dr
As I said I had gone to Dr's on Duty because
I didn't realize you were going to answer.
You were great and i rated u as do however At time
I was not thrilled with system.
I think u were now worth the wait.
I am concerned that Dr prescribed prozesterron
Tablets because I suppose allergies for short period.
I believe this was because I had not responded to
Two series of antibiotic eye drops, actually three while
I was in France.
I am on day three and see no change.
It doesn't sound like a good idea and less
Detailed than your treatment.
He wasn't an eye dr but thought because allergies were
Spreading to my arms we should get it in control
Since I am 65 yrs old I am concerned as u can see
It is affecting my sleep.
Can u help me figure this out?
Thank u
If the allergies are affecting your arms it is a good plan to do an oral allergy therapy at the same time you do the local eye treatment.
Say Hi to Paris for me :)
Customer: replied 3 years ago.
Are u saying that the prescribed prednisone
By tablets is a good match for the program u outlined.
Because I do believe I have exactly what u said.
I am concerned about side effects of prednisone
Because I was in past Glacoma suspicious and
Allergies around eyes seem to get better with allergy
Arms Are minor am planning on seeing an allergist.
In France I was prescribed drops called
Tobradex 4 times a day for 12 days and then
hylovis unidose for one month.
I finished the drops which were effective but
When I returned to Ca. Could not find the second percription
My ortho just took me to wash eyelids with
O cuSoft and come back in 1 month 1/2
Symptoms have not gone away and that was
2 weeks ago
That's when I got nervous contacted u and then Dr
On Duty who gave me a low pill for for 14 days
And I wonder how if this is not to strong for allergies
That are also possibly part of eye diagnosis tic which
U gave and was given by my orthodox as well
Sorry to bother u so early
I can't seem to sleep with prednisone and clearly
I am concerned about my lack of direction
France is usually so wonderful but this trip not so much.
Thank u so much for your help.
What did u mean about tips?
I used to own am Italian restaurant for 20 years
Italian kinda tips??
Prednisone, when used under a doctors supervision, especially for a short time, is very safe. No need to worry. It should not cause any eye problems/glaucoma issues with short term use.
Tobradex is OK but my home therapy is a long term solution....
Ocusoft cost money, your fingers are free and baby shampoo is very inexpensive....
Like a waiter, us Docs work for tips here on this website :)
Winter is coming and my starving, threadbare, barefoot daughters all want new shoes ;)
Have a good day. I hope you feel better soon...
Don't forget to mash the positive feedback button for me...the one labeled "excellent" is the most fun to push by far ;)
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.
Dr. Rick MD FACS
Dr. Rick and other Eye Specialists are ready to help you