Eye

Ask an eye Doctor and get an answer ASAP

Ask a Doctor,
Get an Answer ASAP!

My eyes no longer focus at the same time. it makes reading…

Customer Question
My eyes no longer...

My eyes no longer focus at the same time. it makes reading difficult. sometimes if I am in a car, it's better to keep my eyes closed

Doctor's Assistant: Thanks. Can you give me any more details about your issue?

Normal size print is the hardest, if I am reading a book, the bottom of the page is the hardest. I am also using a magnifying glass for some ptint

Submitted: 2 years ago.Category: Eye
Show More
Show Less
Ask Your Own Eye Question
Answered in 56 minutes by:
1/31/2016
Eye Doctor: Dr. Rick, Board Certified MD replied 2 years ago
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 12,079
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Verified

Hi. My name is***** and I am online and available to help you today. Thank you for your patience.

Question and answer is just one of the services I offer. I can also provide you with additional services, such as live telephone or skype consultation, at a small additional cost. Let me know if you are interested.

How old are you?

Do you were glasses or contacts?

How long has this been going on for?

Do you have any other ocular symptoms or problems?

Do you have any other medical problems or take any medications?

This is not an answer, but an Information Request. I need this information to answer your question. Please reply, so I can answer your question. I look forward to helping you.

Ask Your Own Eye Question
Customer reply replied 2 years ago
I am 60 yr old, and have noticed the problem probably since 12/15. my medications have been the same for years. I have no other eye problems. I have diabetes type II controlled by medication and diet. my A1C was 6.1. I regularly see my PCP. I have kidney stones and neuropathy, and have appointments with my PCP, urologist, and neurologist within the next 2 months I am clinically depressed and on Effexor. I wear glasses with progressive lenses .
Eye Doctor: Dr. Rick, Board Certified MD replied 2 years ago

Thank you for that additional information.

I believe I know what is going on. Please allow me to explain:

It sounds like you may be suffering from dry eyes and tear film problems.

Dry eyes can be due to many different factors. Different medicines such as psychiatric medicines, antihistamines, cold medicines and others can contribute to dry eyes. Allergies in the eyes can also contribute (make dry eyes worse). Some people have an innate deficiency in making their own tears (these people may also have other dry mucus membranes, such as their mouth, nasal passages, or genitalia). Many people have an inflammation in the eyelids called blepharitis which causes the tear film that is supposed to coat the front of the eye to not function as well, and then the eyes dry out. People with blepharitis have morning tearing, burning, and often eyelash mattering. Their symptoms get better as the day progresses, but then they get intermittent blurring when they use their eyes heavily in activities such as reading, watching TV, computer use or driving.

Because blepharitis is so under-diagnosed and the treatment for it is relatively benign, you might consider starting this treatment, while concurrently continuing artificial tears. In order to treat blepharitis, 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 use the artificial tears you bought 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.

If you are a person that doesn't make their own tears very well, then you may also benefit from a prescription drop called Restasis, which actually modulates a person's immune system to help them make more of their own tears. This drop actually requires constant usage on a daily basis for up to 10-12 weeks before its effect kicks in (takes awhile to change the immune response in the body).

Because there are numerous reasons for dry eye, if not all the reasons that exist in one patient are treated, it can seem as though the ones that are being treated are providing no benefit. If you've tried these recommendations and still don't feel better then you should consider seeing an ophthalmologist for a dry eye evaluation.

Does this make sense to you?

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'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

Ask Your Own Eye Question
Was this answer helpful?
Ask Dr. Rick Your Own Question
Dr. Rick
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 12,079
12,079 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
Do you have an ophthalmologist that can answer my questions.
do you have an ophthalmologist that can answer my questions … read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,572 satisfied customers
I'am 83 years old, my ophthalmologist recommended Entropion
I'am 83 years old, my ophthalmologist recommended Entropion surgery because my eyelashes are rubbing against my eye. I'm just wondering what could be some of the possible side effects of the surgery.… read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
428 satisfied customers
In high school I went to the eye doctor and they said
In high school I went to the eye doctor and they said verbatim “you have perfect eyes and will never need glasses. Starting in college and now three years out I have reached the point where I need gla… read more
Dr. Rick
Dr. Rick
Board Certified MD
12,079 satisfied customers
Why do i weep salty tears. Artificial tears. Low salt in my
why do i weep salty tears JA: Have you seen a doctor about this yet? What medications are you taking? Customer: No. Artificial tears JA: Anything else in your medical history you think the doctor shou… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,572 satisfied customers
I'm a 52 year old female. I went to the eye doctor about a
I'm a 52 year old female. I went to the eye doctor about a month ago to get new glasses, and he said that outside of the normal aging stuff, everything looked fine. The last 3-4 days, I've seen flashe… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,572 satisfied customers
I have just been diagnosed with blepharitis and ocular
I have just been diagnosed with blepharitis and ocular rosacea. I am scared. I have stiffness in my eyes and face, red eyes, blurry vision, lost eyelashes. I was prescribed an antibiotic/ steroid drop… read more
Gaurav Gupta
Gaurav Gupta
MD, CEO
Post-Doctoral Degree
22 satisfied customers
It's an eye question are there ophthalmologists here? Rt Eye
It's an eye question are there ophthalmologists here? … read more
Dr. Rick
Dr. Rick
Board Certified MD
12,079 satisfied customers
I'm 20 years old iv been wearing glasses for distances since
Hi I'm 20 years old iv been wearing glasses for long distances since I was 4 after having my daughter 3 years ago my eye site has been getting worse but the last few months when iv been watching tv I … read more
Dr. Rick
Dr. Rick
Board Certified MD
12,079 satisfied customers
I have a question for a Canada/USA based ophthalmologist
Hello, I have a question for a Canada/USA based ophthalmologist regarding corneal scarring, specifically on non-surgical approach. I am aware of a non-surgical option for reducing/ eliminating the sca… read more
Dr. Rick
Dr. Rick
Board Certified MD
12,079 satisfied customers
I have dry eye and blepharitis. I have been advised that I
I have dry eye and blepharitis. I have been advised that I will have these conditions for my life. I also have pinguecula. I have used preservative free lubricating drops and steroids but nothing help… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,771 satisfied customers
Eye doctor only question .. Can an eye doctor see a tumor in
Eye doctor only question ..Can an eye doctor see a tumor in a dilated eye exam ? Is there any other tumors an eye doctor can't see that would only effect the vision?… read more
Dr. Rick
Dr. Rick
Board Certified MD
12,079 satisfied customers
Im myopic college student diagnosed w dry eye &been taking
im myopic college student diagnosed w dry eye &been taking restasis 3x/day since fall2016. InAug 2017 I washed eyes out w water harshly bc I had gotten some CleanNClear acne wash in eyes- overreaction… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,572 satisfied customers
I met with that other ophthalmologist in the same office
I met with that other ophthalmologist in the same office today, and she went into considerable detail about my present condition and what changes she recommended in all the steps I have been doing. He… read more
Dr. Rick
Dr. Rick
Board Certified MD
12,079 satisfied customers
My ophthalmologist says I have Dry Eye, but he isn't
My ophthalmologist says I have Dry Eye, but he isn't specific about how bad my condition is. It seems to have suddenly started to become a problem only about 4 months ago, and I'm currently using Xiid… read more
Dr. Rick
Dr. Rick
Board Certified MD
12,079 satisfied customers
Need help from a eye doctor,I have dry eye and a left eye
Need help from a eye doctor,I have dry eye and a left eye that jumps ,is my eye cause from dry Dr. … read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,572 satisfied customers
Is there an ophthalmologist available? I am having trouble
Hello, is there an ophthalmologist available? I am having trouble with continuing dry eye, red eyes, tight stiff eye muscles and blurry vision. Recently, my eyes have been watering mostly when I wake … read more
Dr Stan
Dr Stan
DO
3,174 satisfied customers
I have a really sore left eye .The eye doctor said my tear
I have a really sore left eye .The eye doctor said my tear ducts aren't working properly .it hurts my head ,like I'm having a bad headache .If I touch my left eye it feels like it is sitting on a swel… read more
Dr. Rick
Dr. Rick
Board Certified MD
12,079 satisfied customers
Just received my new progressive lense glasses. I have been
Just received my new progressive lense glasses . I have been wearing progressive lenses for over 20 years wo any problem. The frames were always!!! Set at the top of my nose bridge with frames tight s… read more
Dr. Rick
Dr. Rick
Board Certified MD
12,079 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