Dry eye/wet eye?

Discussion in 'Eye-Care' started by Salmon Egg, Mar 19, 2007.

  1. Salmon Egg

    Salmon Egg Guest

    I first got a diagnosis of dry eye about three or four years ago. I
    complained that my eye felt "sandy". I was given some lubricant for that
    and it seemed to help.

    Since then, the sandy feeling seems to be gone. In place are watery eyes.
    The tears affect my vision. I was told that the problem is dry eye and that
    my eyes are generating tears to cope. In one eye, my right, the flow is
    incessant. It wets my cheek. It drips down onto my keyboard. I was told to
    use the drops seven, eight times a day. No matter how much I use, the
    problem persists.

    Any suggestions?

    -- Fermez le Bush--about two years to go.
    Salmon Egg, Mar 19, 2007
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  2. Salmon Egg

    Neil Brooks Guest

    You've just entered another Pandora's box--this one has a thousand
    treatments and no cures.

    Has anybody done a thorough dry eye workup on you, including rose
    bengal/lissamine green staining, tear meniscus height, meibomian gland
    function, tear breakup time, interferometry, etc.?

    If not, then you should probably seek out an OD or MD who specializes
    in dry eye to find out what /kind/ of dry eye you have, and why.

    Example: there's aqueous deficient and there's evaporative. Some
    people have both. There are inflammatory conditions.

    Different treatments have greater likelihood than others depending on
    what type of dry eye you have. You could be helped by NSAIDs, steroid
    drops, ocular antihistamines, doxycycline, or other options.

    Meanwhile, there are some zero-risk possibles that you can try.

    - switch drops. Try something different, BUT PRESERVATIVE FREE. The
    preservatives are--almost universally--horrible for dry eyes. Maybe
    Genteal mild-to-moderate. I'm not a big believer in using eyedrops
    more than 4-6 times a day, but ... it's based only on a theory (that--
    by excessive use of eye drops--you "short-circuit" the neural feedback
    loop and decrease the tear production over time)

    - check ANY eyedrops you're using. If you're using ANYTHING preserved
    with Benzalkonium Chloride ("BAK"), find an alternative that's not
    preserved. BAK ate my eyes. It'll eat yours, too ;-)

    - Flax Seed Oil. Start taking 2tsp a day of the liquid stuff;

    - Warm compresses [1]

    - Lid scrubs/hygiene [1]

    [1] Descriptions of these, and much, much more good info, can be found
    at www.dryeyezone.com. Find the user forum. Good people. Good
    info. Good eye docs (including s.m.v.'s own Dr. Leukoma :)).

    Best of luck. Dry eye isn't fun.

    Neil Brooks, Mar 19, 2007
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  3. Salmon Egg

    Salmon Egg Guest

    The ophthalmologist I went to recently for this problem ran some substance
    into the duct transferring tears from inside of the eyelid to the throat. I
    should have tasted something if that flow went through. There was the barest
    indication of a taste. He concluded that the duct was blocked. He sent me to
    a specialist.
    The specialist was, among other things, a cosmetic surgeon. One of his
    specialties is to insert an artificial duct. He used an orange dye. He
    flushed the duct. He concluded the the duct was not blocked. The best he
    could offer me was a form of lubricant.
    I take NSAIDs for other reasons. Although I did use some steroids in the eye
    short term after cataract surgery, it tends to increase IOP.
    So far, I have used Refresh (carboxymethylcellulose) and Systane free
    (glycols). I am not sure, but the Systane may be more effective.
    -- Fermez le Bush--about two years to go.
    Salmon Egg, Mar 21, 2007
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