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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sensitive Eye, Tearing. Prescribed Steroid Drops For Bulphritis. Need Help

started with left eye sensitvity to light,tearing and some aching of it in end of dec while on vaction so went to eye doctor there who said i had eye lash stuck straight down in eyelid gland which scratched cornea . After removing eye lash he gave me tobramycin drops to take. Was relieved of all symptons except for occasional tearing. About 7or 8 days later left eye started to feel sensitive again with some occasional tearing went to my own eye doctor (optomotrist) who said I had ant eyelash (not stuck in gland ) which she removed and said I had bulphritis and allergies, gave me instructions of caring of eye lids and also steroid drops to take for a few days and again better for a while. Then on 4th of feb developed some eye sensiivity but also sinus pain above and below left eye went to primary md on the 5th and she put me on augmentin but if this did not help I should see a opthalmologist or have a cat scan done depending on my insurance coverage. It is now Feb 8th am stil on augmentin andI feel like discomfort has extended to top left side and back of head and left ear and throat and left jaw. Tylenol helps to relieve discomfort but tylenol wore off early this am and discomfort woke me out of my sleep. Dont know if I should call my primary back or see opthalmologist or get cat scan
Wed, 13 Feb 2013
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Ophthalmologist 's  Response
Dear Terry,Hi,I read your history from which I could make out that you are suffering from chronic anterior blepheritis.Since there is matting of lashes it may be saeborric type.The oil glands of your eyelids secrete foamy excretion which looks like a cheesy discharge.There may be inflammation,matting and thickening of the lids associated with pain and itching.You do hot fomentation with scrubbing of the lashes with Johnson baby shampoo.Use moxifloxacin drops 4 times a day along with low dose steroid like lotepred/FML 4 times per day,some tear substitute like refresh tears and tobramycin ointment at night.Take doxycycline tab 100 mg 2 times a day for 2 wks and then 1 time a day for one month.You can take Tylenol whenever there is pain.But still, I would advise you to show an ophthalmologist who can take proper care and do regular follow up as this may take a long time to subside.Pls do rule out if you have any dandruff and skin ds like acne rosaecia.....TC dr Ajay Shankar Kar
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Sensitive Eye, Tearing. Prescribed Steroid Drops For Bulphritis. Need Help

Dear Terry,Hi,I read your history from which I could make out that you are suffering from chronic anterior blepheritis.Since there is matting of lashes it may be saeborric type.The oil glands of your eyelids secrete foamy excretion which looks like a cheesy discharge.There may be inflammation,matting and thickening of the lids associated with pain and itching.You do hot fomentation with scrubbing of the lashes with Johnson baby shampoo.Use moxifloxacin drops 4 times a day along with low dose steroid like lotepred/FML 4 times per day,some tear substitute like refresh tears and tobramycin ointment at night.Take doxycycline tab 100 mg 2 times a day for 2 wks and then 1 time a day for one month.You can take Tylenol whenever there is pain.But still, I would advise you to show an ophthalmologist who can take proper care and do regular follow up as this may take a long time to subside.Pls do rule out if you have any dandruff and skin ds like acne rosaecia.....TC dr Ajay Shankar Kar