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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for filamentary keratitis in eye

Answered by
Dr.
Dr. N. K. Misra

Ophthalmologist

Practicing since :1977

Answered : 1250 Questions

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Posted on Sat, 13 Feb 2016 in Vision and Eye Disorders
Question: Hello: I've had some unusual eye issues for the past year. I was diagnosed with SLK last summer & had surgery on both eyes for the condition. It took a long time to heal..doctor said probably because of autoimmune issues I have including psoriatic arthritis, thyroid problems. Anyway I have since developed filamentary keratitis and have been on two different types of drops for that but it keeps coming back. I was referred to an oculoplastic surgeon for possible eyelid surgery to help with this latest issue. She says there's no guarantee of it helping and has started me on steroid eye drops to hopefully calm the condition down. I see her again in 4 weeks. I also have intermittent pain in my eyes (particularly right one where the keratitis is worse). I am seeing my pulse in both eyes intermittently as well. Sounds strange but apparently other people have this same issue with the pulse thing. My upper eyelids feel like they are "sticking" to my eyes by the end of the day, maybe from the SLK surgery where an amniotic membrane was placed and the contjunctiva excised (spelling?)?? I use non-preserved lubricant drops as well as ointment at night or when my eyes are really bothering me. Two questions...do u have any advice for me based on my symptoms and should I see a neuro Opthamologist for the strange pulse thing in my eyes??
doctor
Answered by Dr. N. K. Misra 1 hour later
Brief Answer:
Lubricant eye dros

Detailed Answer:
My dear,
Thanks for emailing your query to us.

This is the way problems keep growing in immuno compromised patients.

Neuro-ophthalmologist will not be able to help you with seeing of pulsattions.You could have your retina examined,which I am sure will be normal.

Oculoplasty surgeon may also decide about punctal blok,whereby the drainage channel are blocked. So whatever tears are made,remain in the eye, thereby increasing the wetness of cornea.
continue with lubricant eye drops.

We have in our practice used Hypertonic saline drops with very good response, after mechanically removing the hanging filaments.

Any further query in this regard, please do get back to me.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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