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Suggest Treatment For Insomnia When Diagnosed With Pigment Dispersion Syndrome
Question: I have pigment dispersion syndrome and i have been having trouble sleeping. My eyes have red streaks in them and some times i see little black floating things that look stringy. My eyes also feel somewhat dry and tired. I had a laser treatment for it back in November.
Brief Answer:
pigment dispersal hereditary. refresh eye tear drop and dark glass advised
Detailed Answer:
You are having melanin pigment dispersal which can be hereditary pigments are also available as floaters in vetrious. You have also mentioned about dry eye so schemears test should be done to estimate tear available in conjuctival sac. Strip test can indicate tear available in sac. To exclude generalized diminution of all secreation and in eye it is mentioned as pjograns syndrome in which tear secreation will be diminished. For any thing artificial tear like refresh eye tear drop is to be applied.For pjograns syndrome punctum can be sealed to stop tear going out through nasolacrimal duct.May be psoraline tablet can be trIed but it will enhance pigment deposit.Deficiancy in skin is leucoderma which can be increased by application of ointment with exposer to sunlight . For eye you can put on dark glass. Fundus examination specialy indirect ophthalmoscopy for bigger field this is to be repeated to mark the floaters. Look for retinal hole tear and peripheral detachment, if present these can be sealed by laser application. Retina surgeon can be consulted. You have to over come floaters in visual field and take it as normal. may be this is affecting your sleep.
pigment dispersal hereditary. refresh eye tear drop and dark glass advised
Detailed Answer:
You are having melanin pigment dispersal which can be hereditary pigments are also available as floaters in vetrious. You have also mentioned about dry eye so schemears test should be done to estimate tear available in conjuctival sac. Strip test can indicate tear available in sac. To exclude generalized diminution of all secreation and in eye it is mentioned as pjograns syndrome in which tear secreation will be diminished. For any thing artificial tear like refresh eye tear drop is to be applied.For pjograns syndrome punctum can be sealed to stop tear going out through nasolacrimal duct.May be psoraline tablet can be trIed but it will enhance pigment deposit.Deficiancy in skin is leucoderma which can be increased by application of ointment with exposer to sunlight . For eye you can put on dark glass. Fundus examination specialy indirect ophthalmoscopy for bigger field this is to be repeated to mark the floaters. Look for retinal hole tear and peripheral detachment, if present these can be sealed by laser application. Retina surgeon can be consulted. You have to over come floaters in visual field and take it as normal. may be this is affecting your sleep.
Above answer was peer-reviewed by :
Dr. Kampana
Ok i go for a follow up appointment with my glaucoma specialist tomorrow i was just curious if that was a normal thing with pigment dispersion. Thank you!
Brief Answer:
iot is to be taken with field tracing and fundus for cup disc ratio.
Detailed Answer:
If it blocks the angle. autoimune disorder resulting in uveitis can subsiquently develop glaucoma. Iot and field tracing will be done flare in anterior chamber can cause occlusio pupil or trabecular tract can be blocked obstructing drainage and resulting raised iot. Cup disc ratio to be noted. scotoma to be traced out which can result from nerve damage. If confirmed then treatment is oral tablet eye drops and surgery to facilitate drainage, one of them is trabiculectomyslit lamp examination of anterior chamber angle and gonioscopy can help in diagnosis. Water drinking test and dark room test which induces raised iot can help indiagnosis
iot is to be taken with field tracing and fundus for cup disc ratio.
Detailed Answer:
If it blocks the angle. autoimune disorder resulting in uveitis can subsiquently develop glaucoma. Iot and field tracing will be done flare in anterior chamber can cause occlusio pupil or trabecular tract can be blocked obstructing drainage and resulting raised iot. Cup disc ratio to be noted. scotoma to be traced out which can result from nerve damage. If confirmed then treatment is oral tablet eye drops and surgery to facilitate drainage, one of them is trabiculectomyslit lamp examination of anterior chamber angle and gonioscopy can help in diagnosis. Water drinking test and dark room test which induces raised iot can help indiagnosis
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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