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Doctor Q&A for Dr. Kenneth Miller

A 39-year-old member asked:
Dr. Kenneth Miller
Ophthalmology 54 years experience
Allergic reaction: Most likely allergy to the makeup. Stop using and begin cold compresses and if red and itching with some weeping to the skin, an over the counter Hydrocortisone cream to the affected skin will often cause relief and comfort. Use minimal amount and not in the eye for several times a day.
A 45-year-old member asked:
Dr. Kenneth Miller
Ophthalmology 54 years experience
Blepharospasm: Causes quivering or involuntary contraction of the muscle surrounding the eye. This can be a significant problem and often can be relieved with Botox injections into the orbicularis muscle under the guidance of an ophthalmologist or neurologist experienced in the use of the medication. The drug induces a reversible paralysis of the muscle making the contractions significantly less.
7 thanks
A 36-year-old member asked:
Dr. Kenneth Miller
Ophthalmology 54 years experience
May try drops: Most important is to find out why the eyelid is drooping and rule out anything significant that might contribute to it. This is essential. If everything that might be related to the cause of a droopy eye is excluded it may be possible to use a low dose of neosynephrine (phenylephrine) drop infrequently to mask the droop if you do not desire a surgical correction. Only with advice and followup with ophthalmologist.
A 26-year-old member asked:
Dr. Kenneth Miller
Ophthalmology 54 years experience
Migraine: Many people believe the right eye sees only on the right side and the left eye only on the left side. What you may be experiencing is an ophthalmic migraine which does not have a headache associated with it. It may last minutes and occur with various frequency. Suggest covering one eye and then the other and see if the disturbance in your vision is similar in both eyes. This will verify this.
A 54-year-old member asked:
Dr. Kenneth Miller
Ophthalmology 54 years experience
Get comfortable: Antibiotic drops and if large or very uncomfortable a bandage or soft contact lens for one or two days. Follow up to be certain no infection, especially if occurred in garden. Remove contact in 1-2 days.
9 thanks
A 35-year-old member asked:
Dr. Kenneth Miller
Ophthalmology 54 years experience
Available options: Glasses and contact lenses will do you well. Lasik will be beneficial in lower amounts. Other alternatives include intraocular contact lens or clear lens extraction in some patients.
7 thanks
A 37-year-old member asked:
Dr. Kenneth Miller
Ophthalmology 54 years experience
Glasses most likely: If you are in your forties or are farsighted you most likely require a new prescription for glasses or need reading glasses. This is a normal aging process and routine eye exam would be indicated.
A 32-year-old member asked:
Dr. Kenneth Miller
Ophthalmology 54 years experience
Yes: Flashes may indicate a retinal problem. Safe better than sorry so get dilated exam.
Dr. Kenneth Miller agreed with the answer
A member asked:

Dr. William Goldstein
Ophthalmology 31 years experience
Cloudy vision: Progression is usually slow, over months or even years. Increasing cloudiness, decreased sharpness of vision and glare are typical.
Dr. Kenneth Miller agreed with the answer
A member asked:

Dr. Richard Bensinger
Ophthalmology 52 years experience
Partly: Acute glaucoma is due to an anatomical eye issue most common in older adults who are hyperopic. Their internal fluid drainage is blocked by the iris. The goal is to lower the pressure and move the iris out of the way. This is done with several types of eyedrops and acetazolamide helps to lower the pressure. These folks will eventually have a laser opening made in their iris to prevent attacks.
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