Recent Questions by Dr. Rick

Here is the email from my optometrist vis-à-vis my appointment with her on March 24th:"I did not find any significant ocular health concerns during your last exam, apart from mild dry eye. Because of the excellent health of your eyes, at this time, I do not have any grounds to refer you for a consultation with ophthalmology. I do recommended ongoing, periodic eye exams with an optometrist - typically every 2 years for adults in good health.If you are continuing to have difficulties with pain, I would recommend discussing this with your family doctor. As we have ruled out eye health complications, your doctor may wish to address systemic causes of possible functional or neuropathic pain.Going forward, if you feel that there are significant changes to your eye health since your last appointment, I would ask that you contact our clinic to book a follow up exam where we can re-evaluate and discuss adjustments to your treatment plan.Kind Regards,"So the thing is I am having issues with pain. Although she says she found only mild dry eye, the pain is beyond mild. It is severe. The dryness feels like sandpaper on my eyeballs. What should I ask my doctor in terms of relief from neuropathic or functional pain? Have you ever heard of a case of someone with healthy eyesight having such pain from dry eyes? If so, what is the remedy? A million thanks for your help.

Here is the email from my optometrist vis-à-vis my appointment with her on March 24th:"I did not find any significant ocular health concerns during your last exam, apart from mild dry eye. Because of the excellent health of your eyes, at this time, I do not have any grounds to refer you for a consultation with ophthalmology. I do recommended ongoing, periodic eye exams with an optometrist - typically every 2 years for adults in good health.If you are continuing to have difficulties with pain, I would recommend discussing this with your family doctor. As we have ruled out eye health complications, your doctor may wish to address systemic causes of possible functional or neuropathic pain.Going forward, if you feel that there are significant changes to your eye health since your last appointment, I would ask that you contact our clinic to book a follow up exam where we can re-evaluate and discuss adjustments to your treatment plan.Kind Regards,"So the thing is I am having issues with pain. Although she says she found only mild dry eye, the pain is beyond mild. It is severe. The dryness feels like sandpaper on my eyeballs. What should I ask my doctor in terms of relief from neuropathic or functional pain? Have you ever heard of a case of someone with healthy eyesight having such pain from dry eyes? If so, what is the remedy? A million thanks for your help.

Hi,I’ve noticed an anisocoria recently with other symptomes (small exercice intolerance in legs, fatigue, anxiety, hyperventilation, paresthesia on the back of right hand, twitching under the feet)My anisocoria is intermittent but since few day seems to be permanent and greater
(Before the anisocoria switch between right/left or no eye)Now I can see a long dilatation lag in the right eye on dim light.Here the video :
https://www.dropbox.com/s/dy4whp8ukbnpnqe/Video%2013.03.19%2C%2022%2045%2034.mov?dl=0And a picture of me at 2 years oldI’ve already ask another doctor on justAnswer about this anisocoria...But as this seems to evolving with time I am wondering to go seeing an ophtalmologue.Thank you for your help.Note : I have a ptosis since very long time.