Thursday, January 3, 2013

My right eye is very dry during the night?

Q. I have been diagnose with conjunctivitis and my doctor gave me antibiotic but after I used it all up my eyes is dry again but not itching and my eyes have mild rednees do you think my conjuntivitis is healing up help!! me!!

A. Dry eye syndrome is a chronic lack of sufficient lubrication and moisture on the surface of the eye.
Its consequences range from subtle but constant irritation to ocular inflammation of the anterior (front) tissues of the eye.
Dry eyes also are described by the medical term, keratitis sicca, which generally means decreased quality or quantity of tears. Keratoconjunctivitis sicca refers to eye dryness affecting the cornea and conjunctiva.
Dry Eye Syndrome Symptoms
Persistent dryness, scratching and burning in your eyes are signs of dry eye syndrome. These symptoms alone may prompt your eye doctor to diagnose dry eye syndrome.
But sometimes your eye doctor may want to measure the amount of tears in your eyes. A thin strip of filter paper placed under the lower eyelid, called a Schirmer test, is one way to measure tear production.
Another symptom of dry eyes is a "foreign body sensation," the feeling that something is in the eye.
And it may seem odd, but sometimes watery eyes can result from dry eye syndrome, because the excessive dryness works to overstimulate production of the watery component of your eye's tears.
What Causes Dry Eyes?
Tears bathe the eye, washing out dust and debris and keeping the eye moist. They also contain enzymes that neutralize the microorganisms that colonize the eye. Tears are essential for good eye health.
In dry eye syndrome, the lacrimal gland or associated glands near the eye don't produce enough tears, or the tears have a chemical composition that causes them to evaporate too quickly.
Dry eye syndrome has several causes. It occurs as a part of the natural aging process, especially during menopause; as a side effect of many medications, such as antihistamines, antidepressants, certain blood pressure medicines, Parkinson's medications and birth control pills; or because you live in a dry, dusty or windy climate.
If your home or office has air conditioning or a dry heating system, that too can dry out your eyes. Another cause is insufficient blinking, such as when you're staring at a computer screen all day.
Dry eyes also are a symptom of systemic diseases such as lupus, rheumatoid arthritis, ocular rosacea or Sjogren's syndrome (a triad of dry eyes, dry mouth and rheumatoid arthritis or lupus).
Long-term contact lens wear is another cause; in fact, dry eyes are the most common complaint among contact lens wearers.
Recent research indicates that contact lens wear and dry eyes can be a vicious cycle. Dry eye syndrome makes contact lenses feel uncomfortable, and the rubbing of the lenses against the conjunctiva seems to be a cause of dry eyes.
Incomplete closure of the eyelids, eyelid disease and a deficiency of the tear-producing glands are other causes.
Each layer is produced by different glands near the eye. The lacrimal gland located above the outer corner of the eye produces the lacrimal layer, for example. So a problem with any of those sources can result in dry eyes.
Dry eye syndrome is more common in women, possibly due to hormone fluctuations. A recent study also indicates that that risk of dry eyes among men increases with age.
Recent research suggests that smoking, too, can increase your risk of dry eye syndrome.
With increased popularity of cosmetic eyelid surgery (blepharoplasty) for improved appearance, dry eye complaints now occasionally are associated with incomplete closure of eyelids following such a procedure.
Treatment for Dry Eyes
Dry eye syndrome is an ongoing condition that may not be completely curable (depending on the cause), but the accompanying dryness, scratchiness and burning can be managed. Your eye care practitioner may prescribe artificial tears, which are lubricating eye drops that may alleviate the dry, scratching feeling.
Restasis eye drops (cyclosporine in a castor oil base) go one step further: by helping your body produce more tears. Restasis treatment is the first of its kind.
Another option for dry eye treatment is called Lacrisert, a tiny insert filled with a lubricating ingredient (hydroxypropyl cellulose). The insert is placed just inside the lower eyelid, where it continuously releases lubrication for the eye throughout the day.
Sometimes people use the eye drops that "get the red out" to treat their dry eyes. This won't work unless the eye drops also contain artificial tears, and the original "get-the-red-out" formulation doesn't. These drops can reduce or eliminate the redness temporarily, but they don't treat the cause of the redness, whether it's dryness, environmental irritation or some other problem.
Not only that, but the vasoconstrictors in those formulas that reduce redness by contracting the eye's blood vessels are addictive, in the sense that over time, more and more is needed to achieve the same effect. With frequent use, the effect diminishes after a while � the blood vessels simply won't constrict as much as they did when you first used the drops.
If you wear contact lenses, be aware that many eye


In an elderly person who excessively tears, is dacryocystorhinostomy necessary before cataract removal?
Q. My 81 year old grandmother went to see a doctor to have her cataracts remove. The doctor noticed she had excessive tearing of the eyes and said he won't operate to remove her cataracts unless she has dacryocystorhinostomy done with another doctor. Is this totally necessary? Can anybody with a medical background or expertise please help me with this. Thank you.

A. It is a matter of opinion.

If your mother has severe / complete obstruction of her lacrimal ducts, this makes her lacrimal duct prone to infections. Pooled tears in the lacrimal sac make for a very good culture media for all sorts of bacteria.

And if she's having cataract surgery THE LAST THING you want near the operative site (specially if its the sutureless type) is an infection. So it is actually safer to have the DCR (dacryocystorhinostomy) first.

BUT if your mother only has minimal/partial obstruction, it may be possible to do the cataract procedure with a longer preparation of topical anti-biotics. A bit risky, but if you really really want the cataract surgery, it can be done. But she may eventually need a DCR anyway.

If it were my mother, I would have the DCR done first.


I noticied yesterday that my 8 month old puppy had a red mark under her eye?
Q. Today the mark has become larger looks like a rash, but she is not scratching around the area, It maybe be spreading to the other eye. Could some tell me what it maybe and if i could treat it at home. I have some antibiotic liquid from left over from the vet. and i purchased some antibiotic ointment should i used what i have

A. It sounds like your dog either have:
1.trichiasis:
is a medical term for ingrown eyelashes. This can be caused by infection, inflammation, autoimmune conditions, and trauma such as burns or eyelid injury.

Standard treatment involves destruction of the affected eyelashes with electrology, specialized laser, or surgery.

Trichiasis in dogs is hair from the eyelid growing in the wrong direction and rubbing on the eye, causing irritation. It usually occurs at the lateral upper eyelid, especially in the English Cocker Spaniel. Trichiasis also refers to hair from a nasal fold rubbing on the eye. This type of trichiasis can be flattened by rubbing petroleum jelly onto it, but surgery is sometimes necessary for permanent correction.

2.Keratoconjunctivitis sicca (KCS):
Typical symptoms of keratoconjunctivitis are dryness, burning and a sandy-gritty eye irritation that gets worse as the day goes on. Symptoms may also be described as itchy, scratchy, stingy or tired eyes. Other symptoms are pain,redness,a pulling sensation, and pressure behind the eye. There may be a feeling that something, such as a speck of dirt, is in the eye. The resultant damage to the eye surface increases discomfort and sensitivity to bright light. Both eyes usually are affected.

There may also be a stringy discharge from the eyes.Although it may seem strange, dry eye can cause the eyes to water. This can happen because the eyes are irritated. One may experience excessive tearing in the same way as one would if something got into the eye. These reflex tears will not necessarily make the eyes feel better.This is because they are the watery type that are produced in response to injury, irritation, or emotion. They do not have the lubricating qualities necessary to prevent dry eye.


Can I use human eye drops for my Shih tzu?
Q. I have a 8 month old shih tzu and she has eye mucus and her fur around her eyes are always wet.I took her to the groomer to get the fur around her eye trimmed.I heard that I can use human eye drops on her

A. Yes you can, as directed by my vet for My English Bulldog that had no tear ducts not shure why he was adopted guess from my vet was that he may have had chery eye surgery.. Now because of this his eyes did not naturally tear so I had to use a warm cloth to wipe his eyes and was told by my vet that yes it would be safe to use the Murine Artificial Tears a drop in each eye twice a day.. Now some vets may have there own opinion you may want to ask your vet what would be best for your dog, keeping the hair trimmed away from the eyes will help..

If her eyes are over watering or excessive mucus you may want to have her eyes looked at she may have an in-grown eyelash or hair. Or have a tear test done on her..





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