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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Puffy Eyes. Started Wearing Contacts. Lotemax Worked Against Infection. What Is Wrong?

Hi, I started wearing contacts last September. Starting November, i noticed my eyes were puffy every single day Which was sooo annouing! It made me look like a different person. I went to the doctor And he said i had an infection in my eyelids which i think is blepharitis? He prescribed me with Lotemax, Which apparently needs to work well for inflammatory conditions...it didnt work at all. However, i went to a different Doctor last month and he said my eyes are very healthy. I think the lotemax got rid of the infection, but My conditions are pretty much the same.... Im not using my contacts now but i do have to wear them this thursday Because of something very important but i do not wanna go eith puffy eyes....please help Oh btw my new doctor prescribed me some Sterilid cleansers for my dandruff-like flakes aroun d my eye and also allergie drops Pataday...they didnt work .....please help what can i do... I dont really care about the flakes and dryness cause they dont bug me a lot Its just my inflammation ...it doesnt go away 24/7 for 5months now.Thanks
Mon, 26 Aug 2013
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Ophthalmologist 's  Response
Hello,
it seems from the history that you have been sufferring from blepharoconjunctivitis for which you have been treated by different doctors with lotemax eye drops, pataday eye drops...
Blepharoconjunctivitis is usually a chronic disorder and it requires treatment for atleast 3- 6 months. The treatment is mainly by lid scrubs, antibiotic steroid eye ointment. The refractory cases may require treatment by oral tetracycline or doxycycline.
Using contact lenses in presence of inflammatory condition like blephroconjunctivitis is not advised as this will exaggerate the inflammation.
Hence I advice you to take treatment for your blepharoconjunctivitis completely and then start contact lenses.
Thank you
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Puffy Eyes. Started Wearing Contacts. Lotemax Worked Against Infection. What Is Wrong?

Hello, it seems from the history that you have been sufferring from blepharoconjunctivitis for which you have been treated by different doctors with lotemax eye drops, pataday eye drops... Blepharoconjunctivitis is usually a chronic disorder and it requires treatment for atleast 3- 6 months. The treatment is mainly by lid scrubs, antibiotic steroid eye ointment. The refractory cases may require treatment by oral tetracycline or doxycycline. Using contact lenses in presence of inflammatory condition like blephroconjunctivitis is not advised as this will exaggerate the inflammation. Hence I advice you to take treatment for your blepharoconjunctivitis completely and then start contact lenses. Thank you