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Doctor Q&A for Dr. Douglas Liva

A 25-year-old female asked:
Dr. Douglas Liva
Ophthalmology 40 years experience
Yes: just don't cover the edge of the lid with makeup so you don't cover the oil gland ducts and disrupt your tearfilm
A 25-year-old female asked:
Dr. Douglas Liva
Ophthalmology 40 years experience
Not usually: Most likely you have a sub conjunctival hemorrhage which spread to involve the lid and it will clear without treatment. If you have any discomfort or loss of vision you should have an examination to confirm the diagnosis
A 57-year-old female asked:
Dr. Douglas Liva
Ophthalmology 40 years experience
Floaters are painles: Floaters are not usually associated with pain. Pain with eye movement is usually either from the flu or optic neuritis. Optic neuritis would typically cause a reduction of vision. Floaters can indicate a vitreous separation or retinal tear which could lead to a retinal detachment which is also painless but is accompanied by a loss of peripheral vision.
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A 28-year-old female asked:
Dr. Douglas Liva
Ophthalmology 40 years experience
Unclear: All melanomas are bad and can metastasize and once it spreads it is usually incurable.
A 22-year-old female asked:
Dr. Douglas Liva
Ophthalmology 40 years experience
Meibominitis: It sounds like you are suffering from meibominitis which can lead to a swollen tender lid. Try warm compresses and gentile massage. If it worsens or you see no improvement see your ophthalmologist for definitive diagnosis and treatment.
A 67-year-old female asked:
Dr. Douglas Liva
Ophthalmology 40 years experience
Unclear: I assume you mean either CRVO or BRVO. Central vein occlusion and branch retinal vein occlusion can lead to macular edema . Neither condition usually cause macular traction. Macular traction is usually a result of proliferation diabetic retinopathy of macular pucker from an epiretinal membrane. Epiretinal membranes usually don't cause macular edema unless in the postop period after cataract surger
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A 31-year-old male asked:
Dr. Douglas Liva
Ophthalmology 40 years experience
Unlikely : Glaucoma usually causes visual loss over decades. Is sounds like your mother had end stage glaucoma which just ran its course although more quickly due to non compliance taking her glaucoma medication.
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A female asked:
Dr. Douglas Liva
Ophthalmology 40 years experience
Flu, optic neuritis : The two most common causes of pain with eye movement are optic neuritis and the flu. Optic neuritis is usually unilateral and accompanied with visual loss and you should have other common flu symptoms if you have the flu. If it doesn't resolve see an ophthalmologist for a definitive diagnosis.
A 20-year-old female asked:
Dr. Douglas Liva
Ophthalmology 40 years experience
No big deal.: The yellow balls probably represent trapped glandular secretion and are benign. If they swell and become palpable or symptomatic they can be removed in an office setting.
A 26-year-old male asked:
Dr. Douglas Liva
Ophthalmology 40 years experience
Wrong assumption.: There is probably nothing wrong with the contact lens itself. There may be a problem with the fit in that eye or perhaps that eye is more dry and becomes contact lens intolerant sooner. Modern contact lens technology is amazingly consistent . Eyes not so much.
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