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Suggest Treatment For Severe Dry Eyes
Question: I have had severe eye problems for about 9 months I have been to three eye doctors and a primary care.
symptoms: In the Am inside of the eyes are dry I put warm water or cold water on them to stop the pain and then they begin to tear none stop all day (warm or cold water dabd in the corner of my eyes stops the pain warm conpress helps (constant tears run down my face,) lower lids get irritated so all day i have a water film on my eyes making it hard to work (have to carry a tissue or face cloth) There is a slight itchiness by end of day head ache. No nasal breathing problem I did have my first cap put on about 8 months ago and nerve has been sensitive to that root (went to dentist maybe root canal) Ears are Fine went to ENT gave me drops that had an antibiotic for eyes (Tobramycin-dexameth ophth susp) another eye doctor gave me Lotemax also tried counter eye drop and Levocetirizine and now xiidra which is doing nothing. I have not seen one bit of difference the right eye is worse then the left. Now about 9 moths ago I did have a filler put in my face check and far head can that be the cause to anything. I am at my end and it makes it very hard to function every day. The only time that there is no pain is when I close them and put warm compress on them the tearing stops Please any suggestion I have also sleep with the window slightly open for fresh air no carpet in the house so no dust
Asked by Me , 3 minutes ago
by end of day the area under neath by eye get dark and very tired looking and sore no blockage in the tear canals under eye (per eye doctor)
symptoms: In the Am inside of the eyes are dry I put warm water or cold water on them to stop the pain and then they begin to tear none stop all day (warm or cold water dabd in the corner of my eyes stops the pain warm conpress helps (constant tears run down my face,) lower lids get irritated so all day i have a water film on my eyes making it hard to work (have to carry a tissue or face cloth) There is a slight itchiness by end of day head ache. No nasal breathing problem I did have my first cap put on about 8 months ago and nerve has been sensitive to that root (went to dentist maybe root canal) Ears are Fine went to ENT gave me drops that had an antibiotic for eyes (Tobramycin-dexameth ophth susp) another eye doctor gave me Lotemax also tried counter eye drop and Levocetirizine and now xiidra which is doing nothing. I have not seen one bit of difference the right eye is worse then the left. Now about 9 moths ago I did have a filler put in my face check and far head can that be the cause to anything. I am at my end and it makes it very hard to function every day. The only time that there is no pain is when I close them and put warm compress on them the tearing stops Please any suggestion I have also sleep with the window slightly open for fresh air no carpet in the house so no dust
Asked by Me , 3 minutes ago
by end of day the area under neath by eye get dark and very tired looking and sore no blockage in the tear canals under eye (per eye doctor)
Brief Answer:
Please get some investigations done
Detailed Answer:
Hello and thank you for asking HealthcareMagic.
I have gone through your concern carefully and i am going to give you some more info hoping to be helpful.
According to your history, i strongly suggest you some tests to explore if there's any infectious etiology involved or not. Investigations as follows:
-Hemogram
-CRP
-ESR
-PPD test
-Toxoplasma IgG, IgM (in blood)
-HSV IgG, IgM (in blood)
-The culture and the antibiogram of the tearing sample
-The microscopic examination of the fundus oculi
-Prick test
-Pneumoallergens
-Chest X Ray
-CT scan of the orbital region (if needed)
I know it's a lot investigations but the situation has been already ongoing for a long time and now we have to get them done to arrive at an exact diagnosis.
After having the above results your doctor will refer you at the relevant specialist who will treat and follow you further. Please discuss all these with your doctor.
I am sure s/he knows about them and will proceed accordingly.
Do not worry so much, after the treatment you will feel better again.
Let me know if I can assist you further.
Take care
Dr.Jolanda
Please get some investigations done
Detailed Answer:
Hello and thank you for asking HealthcareMagic.
I have gone through your concern carefully and i am going to give you some more info hoping to be helpful.
According to your history, i strongly suggest you some tests to explore if there's any infectious etiology involved or not. Investigations as follows:
-Hemogram
-CRP
-ESR
-PPD test
-Toxoplasma IgG, IgM (in blood)
-HSV IgG, IgM (in blood)
-The culture and the antibiogram of the tearing sample
-The microscopic examination of the fundus oculi
-Prick test
-Pneumoallergens
-Chest X Ray
-CT scan of the orbital region (if needed)
I know it's a lot investigations but the situation has been already ongoing for a long time and now we have to get them done to arrive at an exact diagnosis.
After having the above results your doctor will refer you at the relevant specialist who will treat and follow you further. Please discuss all these with your doctor.
I am sure s/he knows about them and will proceed accordingly.
Do not worry so much, after the treatment you will feel better again.
Let me know if I can assist you further.
Take care
Dr.Jolanda
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Answered by
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