Eye

Ask an eye Doctor and get an answer ASAP

Ask a Doctor,
Get an Answer ASAP!

This answer was rated:

Rick :)My friend also has astigmatism of around -1 in his…

Hello doctor rick :)My friend...
Hello doctor rick :)My friend also has astigmatism of around -1 in his eyes and myopia of around -5 in both eyes . His number has stabilised and he's been getting regular check ups . However for some time , maybe cuz of astig and myopia , he sometimes experiences blueish rings around lights sometimes. They come and go in like a second . He's got a dilated eye exam and a brain MRI as well and both have come or fine. His eyes otherwise are fine and healthy according to the doctors . Could this be a side effect of astig ? He's very anxious as well even though the docs have told him that there's no abnormality in the eye . His eye pressure is also normal . Please tell me what I should tell him to help him relax
Show More
Show Less
Ask Your Own Eye Question
Customer reply replied 8 months ago
I'd like Dr Rick's opinion . Thank you
Answered in 1 minute by:
11/29/2017
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 12,248
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Verified

Hi. I'm Dr. Rick and I have two decades of ophthalmology and retina surgery experience. I'm online and happy to answer your question today.

Morning clinic is backing up. I will get back online as soon as my "day job" allows ;)

Ask Your Own Eye Question
Customer reply replied 8 months ago
Sure doc . Looking forward to hear from you

This might be from his astigmatism or he may have an anterior segment dry/eye problem. Please allow me to explain:

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. If this does not give relief then your eyelid opening can be made smaller with surgery (lateral Tarsorrhaphy).

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.

Does this make sense to you?

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

Ask Your Own Eye Question
Customer reply replied 8 months ago
Okay doctor . But he's gone through a dilated eye exam .... and it has come out negative meaning everything is fine and they've categorically cleared his eyes . Should be panic? Is he going to go blind or something?
Customer reply replied 8 months ago
Would blepharitis not show up in a dilated eye exam?
Customer reply replied 8 months ago
his vision over all is fine . Like me he also experiences occasional flickers but on your advice I've told him that's it's normal and he should just keep getting regular eye check ups and relax. Doctor he's quite overwhelmed and thinks this might add up to something disastrous later on in life ,,, should he be panicked? The optjomologist abd rerinal surgeon both be assured him that his eyes are healthy except for his astig and myopia. What to do ? He's very confused
Customer reply replied 8 months ago
I hope it's not Fuchs or anything ... but that should've come out in the dilated eye exam ... very worried doctor

No, he should not panic.
I very much doubt he is going blind

Blepharitis can be missed on a busy clinic visit....

He should relax and, if necessary, get help with his anxiety over this issue.

Don't talk to The Evil Dr. Google! I doubt Fuchs would be missed on exam.

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 can please give me the top rating in all areas. It has been a pleasure to assist you today.

Thanks in advance,

Dr. Rick MD FACS

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 12,248
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
Customer reply replied 8 months ago
Doctor I very mouth doubt that it's blephiritis as there's no eyelid inflammation . He has occasional dryness . But doctor he's been having this for the past 5 years . And during these 5 years he's been going through regular eye check ups like visual acuity and fundus copy and more recently the dilated eye exam . If there was any corneal abnormality like Fuchs , wether initial or already conceived that would've been detected . I hope he doesn't go into his forties with some sort of irreversible eye damage . He's a friend of mine and I am equally concerned . Though I might think it might be just astigmatism at best . I've heard that the side effects of astigmatism increase with age .
Customer reply replied 8 months ago
Let me know if he should be on the lookout for something

Will do.

Ask Your Own Eye Question
Customer reply replied 8 months ago
Doctor what do you think it is ? Do you believe it could be astigmatism as well? Or dry eyes ????

It is nothing to worry about.

Could be dry eyes; could be blepharitis.

Ask Your Own Eye Question
Customer reply replied 8 months ago
Yeah doctor could be dry eyes along with astig . I have dry eyes as well occasionally especially in the winter months . These symptoms tend to intensify during that time when you have dry eyes . Including light sensitivity

That could do it :)

Ask Your Own Eye Question

.

Ask Your Own Eye Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with an eye doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Rick Your Own Question
Dr. Rick
Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 12,248
12,248 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
Rick. Hope this a good time to talk. Pitching in behalf of
Hey Dr Rick . Hope this a good time to talk. Pitching in behalf of my friend . I am sure you must be familiar now with him . I've consulted about him with you many a times . I'll just remind you tho. … read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
Rick, could you give me you advice on something? My payment
Hi dr rick , could you give me you advice on something ? My payment for this month is still getting processed so I am gonna keep it short I would probably be forced to use this new thread until the te… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
Rick. I hope I haven't caught you at the wrong time.
Hey dr rick . I hope I haven't caught you at the wrong time . Checking in behalf of my rather (anxious) friend . The same friend whom I consulted you about. As of now his dilated eye exam is clear , a… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
Dr rick. Happy new year. You here? Wanted to give an update
Dr rick . Happy new year . You here ? Wanted to give an update on my friends doubt. Looking forward to hear from you.… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
Rick. Hope you are well. My eye exam will be after 20th
Hey Dr Rick . Hope you are well . My eye exam will be after 20th since my optho is on leave . However my friend on whose behalf I enquired about his rings in vision he sees sometimes around bright lig… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
Rick :) hope you are having a god weekend. I knew I said I
Hey doctor rick :) hope you are having a god weekend . I knew I said I would pry away from my phone and chill for the next two days but I had to share this with you. Today while staring at the ceiling… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
I really want to get in touch with an eye doc. Would like to
Hi. I really want to get in touch with an eye doc . Would like to get an advice on something . Thank you :)… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
Few days ago I had a very bad neck sprain, which messed up
Hi. Few days ago I had a very bad neck sprain , which messed up my eyes and ears . I became sensitive to sound and had a few visual disturbances as well. However all of these have died down while also… read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
2,047 satisfied customers
Is it common for myopia (nearsightedness) to get worse after
Is it common for myopia (nearsightedness) to get worse after age 40 without any underlying medical condition? I guess I will go into detail, sorry if long... I'm 43 years old. I've never been diagnose… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
My son is 8 and half years old and is near sighted. He was
My son is 8 and half years old and is near sighted. He was diagnosed almost a year ago with a mild perscription but it has already changed. His prescription is now -2.0 in one eye and -1.75 in the oth… read more
Dr. A.S. Desai
Dr. A.S. Desai
Board certified general ophthalmologist
Master\u0027s Degree
1,574 satisfied customers
I live in Europe and it is difficult for me to get a 'second
I live in Europe and it is difficult for me to get a 'second opinion' concerning bilateral cataract surgery I had on February 28, 2012. Following the surgery, the ophthalmologist informed me he had ma… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
My 7 year old son has myopia and astigmatism in both eyes he
hi my 7 year old son has myopia and astigmatism in both eyes he has been wearing glasses for this since he was 4-5yrs we are not getting any improvement in his vision despite regular checks and multip… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
Rick this is my eye prescription PL -1.50 x 111 + 1.75 +
Hey Dr. Rick this is my eye prescription PL -1.50 x 111 + 1.75 + 1.75 -2.25 x 87 + 2.00 PD 29 29 I have no idea, do I have myopia or just the astigmatisms? I read high myopia is the cause of most PVD.… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
I have pretty much thrown my hands in the air with my dogs
Hello, So I have pretty much thrown my hands in the air with my dogs eye issue. She has always had big pupils but recently I have noticed her squinting when outside or even looking outside through a w… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
Do people with astigmatism get floaters i was talking to a
do people with astigmatism get floaters i was talking to a few people and they all have them who have astigmatism also do they make your eye water… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
I have a 4 year old child who has 6/9 vision in both eyes.
Hi, I have a 4 year old child who has 6/9 vision in both eyes. She however has an astigmatism in her left eye which is 1.50 diopeters. She hasn't yet complained of any difficulites of headaches or eye… read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
My 4 year old son was prescribed glasses for astigmatism -
Hi, my 4 year old son was prescribed glasses for astigmatism - Right eye: Sph 0.0 Cyl +0.50 Axis 100 Left eye: Sph 0.0 Cyl +1.00 Axis 80. Does he really need to wear glasses? He's never complained of … read more
Dr. Rick
Dr. Rick
Board Certified MD
Doctoral Degree
12,248 satisfied customers
I have vertical double vision when both eyes are open. I
I have vertical double vision when both eyes are open. I have a 1 base up and 1 base down prism in my glasses. In addition, my prescription is -9 nearsighted with -3.25 astigmatism in both eyes. The p… read more
Dr. James
Dr. James
Doctoral Degree
2,273 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