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biscuit
medicine forum Guru Wannabe
Joined: 24 Apr 2005
Posts: 296
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 Posted: Sun Jun 25, 2006 7:33 pm Post subject:
Morning dry eye?
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For the last few months I've had this thing where the vision in one or
both of my eyes is foggy when I wake first thing in the morning. I'm
not sure, but which eye is foggy seems to be related to which side I
was sleeping on. The problem clears in 5 minutes or so, so it's hard
to diagnose. This morning I put a few lubricant drops in both eyes
right away and it cleared, so I'm thinking dry eye.
Any thoughts on what might have brought this on, and what I can do
about it? I mentioned it at my last eye exam, but the doc didn't seem
too concerned and suggested drops before bed. The weird thing is that
I don't think I have dry eyes in general. Since I got RGP's (about 3-4
weeks ago now), my biggest problem seems to be excessive tearing...
although at times I think I do go dry too.
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BD
medicine forum Guru Wannabe
Joined: 28 Jul 2005
Posts: 148
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| Posted: Mon Jun 26, 2006 2:43 am Post subject:
Re: Morning dry eye?
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| Quote: | Since I got RGP's (about 3-4
weeks ago now), my biggest problem seems to be excessive tearing...
although at times I think I do go dry too.
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I have a similar issue. It strikes me as reasonable, given that tear
production is likely different while one is sleeping... and I did have
an adjustment phase with my lenses. I used eye drops in the morning for
awhile, but at this point, my daily routine of just getting up, hopping
into the shower and slowly blinking for a little while while my eyes
aren't really needed yet... that seems to work fine. |
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drfrank21@gmail.com
medicine forum addict
Joined: 17 Sep 2005
Posts: 69
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| Posted: Mon Jun 26, 2006 8:48 pm Post subject:
Re: Morning dry eye?
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Charles wrote:
| Quote: | For the last few months I've had this thing where the vision in one or
both of my eyes is foggy when I wake first thing in the morning. I'm
not sure, but which eye is foggy seems to be related to which side I
was sleeping on. The problem clears in 5 minutes or so, so it's hard
to diagnose. This morning I put a few lubricant drops in both eyes
right away and it cleared, so I'm thinking dry eye.
Any thoughts on what might have brought this on, and what I can do
about it? I mentioned it at my last eye exam, but the doc didn't seem
too concerned and suggested drops before bed. The weird thing is that
I don't think I have dry eyes in general. Since I got RGP's (about 3-4
weeks ago now), my biggest problem seems to be excessive tearing...
although at times I think I do go dry too.
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It does sound like dry eye and I would recommend any number
of good artificial tear products (I get good results from the gels
such as "Refresh Liquigel") on a regular basis at night and first
thing in the morning.
The tearing you get from irritation from your gas perms is referred
to as "reflex tearing" and has no real association with dry or
non-dry eyes. In fact, one of the classic complaints of a dry
eye patient is of excessive "watering".
frank |
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biscuit
medicine forum Guru Wannabe
Joined: 24 Apr 2005
Posts: 296
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| Posted: Mon Jun 26, 2006 11:11 pm Post subject:
Re: Morning dry eye?
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drfrank21@gmail.com wrote:
| Quote: | The tearing you get from irritation from your gas perms is referred
to as "reflex tearing" and has no real association with dry or
non-dry eyes. In fact, one of the classic complaints of a dry
eye patient is of excessive "watering".
frank
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Is there anything that can be done with respect to the watering? Or is
there a chance that it might go away eventually? I remember my doc
talking about RGP's with different levels of water absorption - would
this have any bearing?
You mention irritation, but my RGP's feel totally comfortable at this
point. There doesn't seem to be any correlation between felt
irritation and eye watering. There is, however, a strong correlation
with wind blowing into my eyes, or even the air from walking quickly
down the hall. My eyes have always been like that to some extent, but
much worse with the contacts.
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Neil Brooks
medicine forum Guru
Joined: 24 Mar 2005
Posts: 1148
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| Posted: Mon Jun 26, 2006 11:50 pm Post subject:
Re: Morning dry eye?
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On Mon, 26 Jun 2006 23:11:08 GMT, "Charles" <nospam@nospam.com> wrote:
| Quote: | drfrank21@gmail.com wrote:
The tearing you get from irritation from your gas perms is referred
to as "reflex tearing" and has no real association with dry or
non-dry eyes. In fact, one of the classic complaints of a dry
eye patient is of excessive "watering".
frank
Is there anything that can be done with respect to the watering?
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Yup. All of the aforementioned treatment modalities for dry eye
syndrome. Here's a good overview:
http://www.agingeye.net/dryeyes/dryeyesdrugtreatment.php
| Quote: | Or is
there a chance that it might go away eventually?
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Yup. Really depends what the underlying cause is, IF that can be
determined.
I (not a doctor)'d probably pick a decent dry eye drop (maybe Refresh
Endura or Systane) and try it for a few weeks.
That's a bit of the shotgun approach. Probably a better way (notice
that I'm *still* not a doctor) would be to have a dry eye workup at an
optometrist's office where they check your Schirmer's (quantity of
tears), Tear Break Up Time ("quality" of tears), and rose bengal (or
equivalent) staining (see any evidence of dry eye associated damage on
cornea or conjunctiva).
If you come back to the board with those numbers, I/we/somebody can
tell you if you have dry eyes, whether they're aqueous deficient,
evaporative, or both, and ... if your luck still holds out ... what
the best treatment options are for you!
| Quote: | I remember my doc
talking about RGP's with different levels of water absorption - would
this have any bearing?
You mention irritation, but my RGP's feel totally comfortable at this
point. There doesn't seem to be any correlation between felt
irritation and eye watering. There is, however, a strong correlation
with wind blowing into my eyes, or even the air from walking quickly
down the hall. My eyes have always been like that to some extent, but
much worse with the contacts.
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Sounds like a symptom of dry eyes to me.
I'd get 'em looked at ... for specifically that issue ... by a good
dry eye doc near you.
Best of luck! |
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biscuit
medicine forum Guru Wannabe
Joined: 24 Apr 2005
Posts: 296
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| Posted: Tue Jun 27, 2006 12:22 am Post subject:
Re: Morning dry eye?
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Neil Brooks wrote:
| Quote: |
...
I'd get 'em looked at ... for specifically that issue ... by a good
dry eye doc near you.
Best of luck!
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Thanks. Kind of counterintuitive to put drops in watery eyes, but I'll
check it out.
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drfrank21@gmail.com
medicine forum addict
Joined: 17 Sep 2005
Posts: 69
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| Posted: Tue Jun 27, 2006 12:39 am Post subject:
Re: Morning dry eye?
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Charles wrote:
| Quote: | Is there anything that can be done with respect to the watering? Or is
there a chance that it might go away eventually? I remember my doc
talking about RGP's with different levels of water absorption - would
this have any bearing?
You mention irritation, but my RGP's feel totally comfortable at this
point. There doesn't seem to be any correlation between felt
irritation and eye watering. There is, however, a strong correlation
with wind blowing into my eyes, or even the air from walking quickly
down the hall. My eyes have always been like that to some extent, but
much worse with the contacts.
|
Try rewetting agents when you're wearing your cl's and artificial
tears when not. Gas permeable cl's do not have any water
content like soft cl's. Your doc may have been referring to
wetting angle or the dk (amount of oxygen permeability).
Any irritative reaction, from allergies to drying to environmental
factors (ie.wind blowing) can cause this reflex tearing. It does
sound paradoxical, but in simple terms, quelling the irritative
reaction will reduce the amount the reflex tearing. If it's due
to a dry eye, artificial tears will indeed reduce the irritation
(and thus the reflex tearing).
frank |
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biscuit
medicine forum Guru Wannabe
Joined: 24 Apr 2005
Posts: 296
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| Posted: Tue Jun 27, 2006 2:00 am Post subject:
Re: Morning dry eye?
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drfrank21@gmail.com wrote:
| Quote: |
Try rewetting agents when you're wearing your cl's and artificial
tears when not. Gas permeable cl's do not have any water
content like soft cl's. Your doc may have been referring to
wetting angle or the dk (amount of oxygen permeability).
Any irritative reaction, from allergies to drying to environmental
factors (ie.wind blowing) can cause this reflex tearing. It does
sound paradoxical, but in simple terms, quelling the irritative
reaction will reduce the amount the reflex tearing. If it's due
to a dry eye, artificial tears will indeed reduce the irritation
(and thus the reflex tearing).
frank
|
Thanks. Can you explain wetting angle? From what I could Google, it
sounded like lower is better, but is that the whole story? Also,
what's the story with semi-scleral RGP? All I know is that they are
bigger and thus possibly more comfortable? I wonder if they might
also help prevent some of the "edge effects" I've been having sometimes.
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