Doctor insights on:
Severe Dry Eye
No answer: Unfortunately there is no good answer to your question. Every patient is different and every patient has different severities of corneal dryness. People heal at different rates due to their eyedrops, genetics, and other medical problems and environmental conditions. Due to the fact there are so many variables, there is no answer to your question. I'm sorry. ...Read more
Is change in vision a symptom if severe dry eye? I notice for months my eye sight has not been the same some days they are very clear. .
Dry eyes: Can cause blurry vision. Often, the patient will also notice some other symptoms as well. These include burning, foreign body sensation, redness, excess tearing, etc. It's easy to try a course of artificial tears several times a day for a couple of weeks to see if your symptoms improve. If not, then you should see an ophthalmologist to evaluate this further. ...Read more
Autoimmune: You almost certainly have dry eyes associated with your lupus, and this can be very difficult to treat. Restasis helps improve tear production, which is shut down in an autoimmune environment. You could consider punctual plugs which will help your tears stay longer in your eyes. You could also consider treating the quality of your tear film, such as by taking omega-3 orally. ...Read more
Got severe dry eye (extreme light sensitivity, burning)after watching smartphone outside for a couple of hours in very windy place, is this permanent?
Is not permanent, tell me more and about the color of the secretions
You may require eye drops for a short time and will get better is ...Read more
How to fix severe dry eye from zoloft (sertraline). Medicine needed for anxiety, and no med alternatives improve condition with eyes. What alternatives are there?
Mother has had severe dry eye and had tried all types if prescription meds and over the counter. Seems worse inside house. Any new suggestions?
Other options: Does Mom have Sjogren's (an arthritic condition with very dry mouth and eyes)? Has she used ointment at night and flax oil supplements? Punctal plugs can also be useful; they can be installed quickly and painlessly in the office by your ophthalmologist. She can also use an ultrasonic vaporizer at the bedside to keep eyes moist at night. She should be seen an ophthalmologist for this (not optom ...Read more
Can people with sjogrens syndrome and severe dry eye syndrome have Lasix (furosemide) eye surgery?
Better not: Lasik surgery tends to make eyes more dry. In the setting of sjogren's syndrome, this could potentially be devastating. Patients who have severe dry eyes can have pain, fluctuating and even poor vision. And this will get worse with age. If you want surgery, you might consider refractive lens exchange, as this will be less drying to the eye and may also get rid of the need for bifocals. ...Read more
Constant dizziness, brain fog, severe dry eye (being treated), ear and temple burning sensation. Most labs are normal.
Psychotherapy?: After ruling out any physiological abnormalities, let me as you, have you yet tried any form of psychotherapy? Typically, the optimal combination of things to treat emotional issues such as stress or depression is medication (which, on your best day, is supposed to take the edge off symptoms) but the real gruntwork takes place in psychotherapist's consulting room. ...Read more
Plugs, drops, ointment: Dry eye is a very common side effect from lasik. First use preservative free artificial tears 4-5/day. Then consider punctal plugs to block the tear drains. You can also consider ointment at bedtime and/or Restasis twice a day. Also, drink more water, sleep more, don't have a fan blowing in you face and wear sunglasses when outside. ...Read more
Have severe dry eyes (daily restasis + eye drops). Want to wear contacts more often but right eye hurts after 2 hrs. What are my options?
I'm diagnosed with congenital ptosis. I went through 3 surgeries. After my surgery, I have severe dry eyes and squint eye. I can't look straight.
Second opinion: It would be worthwhile to seek out a second opinion about these problems after ptosis surgery. Dryness can occur possibly because of an incomplete blink / closure, or the lids coming open at night. Aggressive use of preservative-free artificial tears and lubricating eye ointment at night may help. I am unsure as to why there would be ocular misalignment after this, so that needs to be evaluated. ...Read more
I heard that corneal nerves that are severed after lasik never fully recover, does this mean I will have dry eye forever?
Usually improves: Some symptoms of dry eye after lasik or other refractive procedures are common. However, the duration of symptoms is variable and depends on multiple factors. For most, between the first month to few months after the procedure, the baseline will be re-established. Generally, things go back to your "normal" within or before the first 6 months. Meet with your ophthalmologist for more specifics. ...Read more
I hear it can take years for lasik induced dry eye to heal, because it can take up to 5 years for the severed corneal nerves to heal is that true?
Incorrect info: That is incorrect information. First - it is important to identify dry eye prior to lasik. Many patients have lasik because they are not comfortable in their contact lenses - and this is usually due to dry eye. If a patient has lasik without pre-existing dry eye - then while they can get some dryness - it is temporary if treated with therapeutic meds like topical anti-inflammatory meds. ...Read more
Can something not seen during an eye exam cause severe photophobia in 1 eye? Even the light during an eye exam is intolerable. Tube-shunt? Dry eye?
Photophobia: Yes, and may require a repeat evaluation by an ophthalmologist. ...Read more
Control not cure:
Anti-inflammatory meds like Restasis and Xiidra can be helpful as well as omega-3 supplements and hot masks. For more difficult cases, Lipiflow and meibomian gland probing work well to restore normal physiology.
Generally speaking, it is difficult to cure dry eyes. We try to control the symptoms as best we can but if you stop the treatments, then the dry eye symptoms will likely come back. ...Read more
This is a very broad question.
Start with articial tears, you may need plugs. See your eyecare physician. You need to be placed on prescription drops such as Restasis or even topical corticosteroids.
Check your medication lists for dry eye and mouth side effects. This can become a chronic problem and require long term care. May need to change your dietary habits and improve your hydration ...Read more
Unfortunately none: There is no quick fix to stop dry eye completely. It tends to worsen as we age, as we produce less good tears. Treatment aims at managing and is an active process, but there are options that can significantly improve the discomfort of dry eye: OTC artificial tears, presription restasis, punctal plugs, humidifiers, vitamin supplements, heating masks, lid scrubs, lipiflow. Seek eye exam for help! ...Read more