Is there still hope for dry eye??

Discussion in 'Eye-Care' started by Darrian, Feb 3, 2005.

  1. Darrian

    Darrian Guest

    I am really becoming hopeless on this. I was diagnosed to have dry eye
    problem about a year ago (and it also started to really bother me a
    year ago). All the answsers I got from doctors are "this is becoz of
    dry weather, contact lens, long-time computer usage". And I was told
    there is no cure for this.
    So now every day, I am tortured by this disease. My eyes never feel as
    comfortable as when I did not have it. I am not wearing contacts no
    more. I am using flaxseed oil and I am using theratear drops. Nothing
    really helps. I have to go to work everyday and everyday when I sit
    infront of computer, this dry eye is torturing me. Work becomes so
    stressful becoz of this. If there is something I can use and say give
    me a hour's symptom free time, I would be the happiest man of the
    world. But no, nothing... It seems that I just can do nothing about it
    excpet for waiting until it's getting worse and worse.
    I am going to be 30 and the thought that in the rest of my life I will
    have to live with this problem is eating me alive.
    Is there anyway that this condition can be controlled? Is there any
    doctor that can treat the problem? I would be really happy if someone
    can tell me "yes in 15 years they will find something that can totally
    cure you". This kind of hopelessness is killing me.
    I really don't understand why the insurance does not cover those
    drops. For a dry eye patients, all these drops are essential to their
    lives and they are not cheap if you have to keep using them every
    hour. This is totally a debilitating disease and it deserves more
    attention from the medical field!!!
     
    Darrian, Feb 3, 2005
    #1
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  2. Darrian

    Neil Brooks Guest

    Ask your doctor to prescribe a trial of Lacriserts.

    Here's a link to learn a bit about them. For many people who are not
    wearing contacts, they offer /significant/ relief of discomfort.

    http://snipurl.com/chx2

    They're a little "plastic" capsule that you stick under your lower eyelid.
    They dissolve throughout the day, providing a tear thickening film that
    helps lubricate and protect the eye.

    Also speak with your doctor about "punctal occlusion." This is a process
    where they put tiny plugs in (usually) your lower eyelid tear /drains/.
    With the plugs in place, your few tears do not drain out as quickly. They
    can even plug the upper "puncta" as well. It's cheap, easy, painless, and
    usually covered by insurance. They can even put in "trial" plugs that will
    dissolve after a few days. This is a good, inexpensive way to determine if
    the "real" plugs will be helpful. Virtually no downside.

    Are you using an eye /lube/ at night? I tend to use the lube made by
    GenTeal (http://snipurl.com/chx6).

    Best of luck!

    Neil
     
    Neil Brooks, Feb 3, 2005
    #2
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  3. Treatments for dry eye besides "thin" artificial tears:

    1. Thicker tears; for really dry eyes, I like Genteal Gel 4 times a day

    2. Punctum occlusion by removable rubber plugs, or closure by cautery of
    laser

    3. Restasis - a realtively new, expensive medication - cyclosporine-A as an
    eyedrop, in cases of inflammatory loss of the tear function. May take
    several months to even find out if it at all helpful. Can cost about $150
    per month or so, depending on how it is purchased.
     
    David Robins, MD, Feb 3, 2005
    #3
  4. Darrian

    g.gatti Guest

    BUT WHY DON'T YOU TRY SUN-GAZING???

    Is the only thing that REALLY WORKS!!!

    You start it just for ten seconds with the sun low on the horizon.

    Why not?

    Once you have understood this profession is criminal, why don't you
    discard it and start your own search on the side of Nature?
    You come from Nature, not from so-called science.
     
    g.gatti, Feb 3, 2005
    #4
  5. Darrian

    Dom Guest

    Try different types of drops... try Poly-Gel (or Genteal Gel already
    suggested). Try Poly-Visc or Lacri-lube before sleep. Also, try
    lid-hygiene-- look for a product called Lid-Care (pre-moistened sachets
    to scrub your eyelid margins with). Also try gently massaging your
    eyelids with your fingers a few times a day. Drink plenty of water,
    avoid caffeine & alcohol. Avoid airconditioning, fans, heaters, wind,
    smoke, dust, etc. Don't drive your car with the window down or the air
    vents blowing on your face. Avoid medications such as cold & flu
    tablets, antihistamines (and many others). Don't stare at things when
    you are concentrating (e.g. computers, driving) - take breaks and blink
    a lot. Consider (as already suggested) punctal plugs, Restasis, low-dose
    steroid drops. Do a google search for blepharitis - especially if you
    have skin problems or dandruff. Treat (if possible) any systemic
    conditions you may have, such as arthritis, Crohn's disease, irritable
    bowel, lupus, etc etc.

    It does tend to be a chronic condition but it is manageable. Did
    anything else change in your life a year ago? e.g. health issues, work
    environment, etc. It's unusual for a male of your age to get it that bad.

    Definitely do NOT look into the sun, you may burn your retina.

    Dom.
     
    Dom, Feb 3, 2005
    #5
  6. Darrian

    g.gatti Guest

    Why people does not ask WHY after lasik one develops such nuisances?
     
    g.gatti, Feb 3, 2005
    #6
  7. Darrian

    Neil Brooks Guest

    Several have. Punctal occlusion, punctal plugs, punctal cautery . . . it
    all means plugging up the tear duct /drains/.

    I might also refer the original poster to the Sjogren's Syndrome online
    forum. Sjogren's patients have zero, or virtually zero, tear production --
    severe dry eyes. This particular forum concerns eye problems and treatment
    effectiveness.

    http://p073.ezboard.com/fsjsworldforumsfrm16

    I'm 40. Have tried all of the suggestions, including Restasis. Currently
    using variously drops, gels, Lacriserts, and TheraTears capsules. Have had
    all four of my puncta cauterized. It's definitely a serious challenge.

    You might try wraparound glasses. If you need correction: many frame
    manufacturers, including Oakley, can make prescription glasses.

    Also, since the OP mentioned all-day computer work, how about a humidifier
    in your work environment. Can't hurt.

    Again, good luck!
     
    Neil Brooks, Feb 3, 2005
    #7
  8. Darrian

    Darrian Guest

    I 've talked to my doc about getting punctal plug. but his opinion is
    my dry eye is not that bad and he would not want to do that for a
    person at young age. I remember I saw another eye doc before and she
    actually put one temporary plug (according to her, it would disappear
    in a few days by itself). I did not feel any relief so she said that
    probably means plugging more would not help either. I've done blood
    test and did nto find any auto-immune disease.
    The thing for me is now the dryness has not hit to a point that I am
    having pain or something totally unbearable. It's just the discomfort
    and burning are really taking away the quality of life.
    After seeing a couple of eye doctors, I really lost my trust since they
    all tend to be like "well, there are nothing we can do here" and i
    would be dismissed.
    If I can find a docotor that can be really patient and is willing to
    try different treatments, I probably will feel much better.
    But really,thank you guys for all your support and suggestions!
     
    Darrian, Feb 4, 2005
    #8
  9. Darrian

    Darrian Guest

    Oh about thick gel, I tried them before. they are so thick that they
    tend to blur my vision for qutie a while. how can I use this at work? I
    won't be able to work for a a while after using it.
     
    Darrian, Feb 4, 2005
    #9
  10. Darrian

    Neil Brooks Guest

    I'd go back and try them again. It's entirely possible that--if the
    practitioner put in the wrong size plug, for example--the plug may have
    washed right down "the drain" almost immediately. If that were the case,
    you would never know whether plugs would help or not.

    The issue of you being "too young" for punctal plugs is strange to me.
    You're old enough to have dry eyes. Unless I'm missing something--and I
    don't think I am--you're plenty old to try punctal plugs, too.

    In terms of your dry eye being "not that bad--" it's bad enough to bother
    you. That's bad enough.

    Try the Lacriserts and/or punctal plugs. No downside.
     
    Neil Brooks, Feb 4, 2005
    #10
  11. Darrian

    Darrian Guest

    Also, according to the doctor, I've got enough tear volume. It's just
    the other tear layers somehow become bad and it evaporates too fast.
    One doc said the oil layer is not that good. The other doc said the
    mucus layer. Another said both. I am really confused by this and I
    guess really if they can not figure it out exactly which one, how can I
    ? To make things more frustrating, after saying that, they would
    suggest eyedrops which I've tried and did not notice much difference
    except for the first 5 mins using it (the first 5 mins I think when I
    feel "better" is simply because there is some liquid drops in my eyes).
    I wonder if my expectaton is too high? coz I always think the one
    should work is when I put the drops in, my eyes feel like normal.
     
    Darrian, Feb 4, 2005
    #11
  12. Darrian

    Neil Brooks Guest

    People with Sjogren's Syndrome have /extremely/ dry eyes. Here's a link to
    a forum where they share their experiences, what treatments they've tried,
    what's worked, what hasn't, current medical info, etc., etc.

    They welcome people who are /not/ Sjogren's patients as well.

    http://p073.ezboard.com/fsjsworldforumsfrm16

    Happy to help....
     
    Neil Brooks, Feb 4, 2005
    #12
  13. Darrian

    Darrian Guest

    Thanks Neil and all ppl here! I really appreciate the help and
    response!
    It means so much to me. I used to feel that I was left in the darkness
    all by myself coz I did not get much help from the doctors I am
    seeing. It's like something really bad is disrupting one's life but you
    simply do not know what to do. The help I got from ppl around me
    normally is "well, that's life. you just have to live with it". Maybe I
    am weak, but really I did not find much help from those words.

    I heard a lot of ppl are having dry eye problems. If that's the case,
    is there way i can find a peer support group or whatever? so ppl with
    the same conditions can exchange what works and help each other. Dry
    eye does not sound like a deadly disease, but as a sufferer, I can tell
    you that it's really affecting one's life.
     
    Darrian, Feb 4, 2005
    #13
  14. Darrian

    Neil Brooks Guest

    Tears are made of three components (see below). If the 'recipe' is wrong,
    you can have gallons of (aqueous) tears and still have dry eyes (that's
    me!). People see tears dripping from my eyes and say I /can't/ have dry
    eyes. I tell them it's like being in a swimming pool with your eyes open:
    sure, they're wet, but the recipe is wrong . . . and they will hurt!.

    Review this page: http://snipurl.com/cjol for further info. There's some
    basic stuff in with the mumbo-jumbo. It will give you a better
    understanding of what that doctor meant. You need an adequate amount of all
    three, in the right proportions, to avoid dry eye. If it's off, you've got
    troubles.

    Again, Lacriserts can thicken and stabilize the tear film, slowing their
    evaporation. Make sure you blink regularly. Most of us virtually stop
    blinking when we're on the computer.
     
    Neil Brooks, Feb 4, 2005
    #14
  15. Darrian

    Evaristo Guest

    Do the sun treatment, use a burning glass.

    Keep your eyes closed frequently while imaging something
    perfectly for long periods of time (at least 15 minutes).

    Learn to see best where you are looking and not so good
    where you are not looking.

    If you feel strain in your eyes, don't ignore it, but rest them.

    Learn to look at the sun.
     
    Evaristo, Feb 8, 2005
    #15
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