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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Blurry Vision, Dry, Itchy And Red Eyes. Used Re-wetting Drops. Cause And Cure?

I have always had pretty good vision my whole life. I am 27 years old and about 2-3 weeks ago I noticed that my vision has gotten blurry and hasn t really gone away. Some days its not too bad and others its a little worse. I ve always had allergies but never a problem with my eyes from them. I saw my physician for a physical and he had me get blood work done and nothing was wrong with it. My eyes are dry, somewhat itchy, red at times, and I seem to get a little tired sometimes randomly. I ve been using rewetting drops and they really aren t helping at all. Any suggestions or diagnosis? Could this just be allergies and if so what should I do?.. Thanks!
Sat, 23 Feb 2013
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Ophthalmologist,  's  Response
The symptoms you describe of redness, itching and dryness can have a few causes mainly dry eyes or Xerosis, allergic or vernal catarrh or blepharitis which is an infection along your lid margins. You are using lubricating drops but the frequency of instillation and duration of usage are important. The fact that you have a history of allergy is also significant because allergy does often spread to the eye area and may start anytime. The itching in both eyes strongly leans towards this diagnosis. If you have an infection along the lid margins, you may observe white, flaky material on the eyelashes and an oily feel in your eyes that clears when you rub them and comes back again really quickly. The treatment to tackle most of these complaints is to start an eye drop regime that reduces itching like Cromolyn sodium 4 times a day and a Ketorolac eye drop 3 times a day for a week. Keep the wetting drop dosage on and leave 2 minutes between installation of each eye drop. At night you could use a mild eye antibiotic ointment on the lid margin if there is any lid infection. Keeping this on for a week resolves the problem in most cases.
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Have Blurry Vision, Dry, Itchy And Red Eyes. Used Re-wetting Drops. Cause And Cure?

The symptoms you describe of redness, itching and dryness can have a few causes mainly dry eyes or Xerosis, allergic or vernal catarrh or blepharitis which is an infection along your lid margins. You are using lubricating drops but the frequency of instillation and duration of usage are important. The fact that you have a history of allergy is also significant because allergy does often spread to the eye area and may start anytime. The itching in both eyes strongly leans towards this diagnosis. If you have an infection along the lid margins, you may observe white, flaky material on the eyelashes and an oily feel in your eyes that clears when you rub them and comes back again really quickly. The treatment to tackle most of these complaints is to start an eye drop regime that reduces itching like Cromolyn sodium 4 times a day and a Ketorolac eye drop 3 times a day for a week. Keep the wetting drop dosage on and leave 2 minutes between installation of each eye drop. At night you could use a mild eye antibiotic ointment on the lid margin if there is any lid infection. Keeping this on for a week resolves the problem in most cases.