? Dryness ANYONE ??

Post your questions and start your research in this forum if more than three months ago you had any type of surgery to reduce the need for glasses and contacts.

? Dryness ANYONE ??

Postby boston » Tue May 13, 2008 1:17 am

Hello,
How many of you people have experienced recurring dry eye symptoms, and does it get much better, even at the year mark?
I have been reading about how the cornea is "permanently damaged" from Lasik, and wonder it if my eye will start compensating for the dryness and start producing more tears.
I feel like this is ruining my nice eyes. I used to always get comments on my eyes. Now I am often squinting, cant hold them open for long, and the dryness perpetuates to the surrounding skin around my eyes, which also gets and feels very dry. Wrinkles around my eyes are getting worse.
I hope this cures itself, and gets much better still.
I am 10 months post-op.

Boston

ps, got it at [an] Eye Center, supposedly one of the best in this city. But it is a sham!

Note: Post edited to remove clinic name.
boston
 
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Postby LasikExpert » Thu May 22, 2008 6:20 pm

A critic could call any surgery - even life saving surgery - as causing "permanent damage". The question here is if your dry eye problems are permanent.

At 10 months postop you should have received a significant amount of relief from dry eyes. We have a detailed article about Lasik dry eye treatment that you may find helpful. How are you and your doctor treating the dry eye?
Glenn Hagele
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Postby boston » Thu May 22, 2008 9:32 pm

LasikExpert wrote:A critic could call any surgery - even life saving surgery - as causing "permanent damage". The question here is if your dry eye problems are permanent.

At 10 months postop you should have received a significant amount of relief from dry eyes. We have a detailed article about Lasik dry eye treatment that you may find helpful. How are you and your doctor treating the dry eye?


The thing is, I didnt even really have dry eye right after surgery. I had lasik last summer (7/14/07 ish). I remember waking up in the morning sometimes in the fall with slight dryness but as soon as I got going things were fine. The doc once asked me at my 8 week check-up if my eyes felt dry. I said no not really. She then told me to keep using artificial tears, although not necessary for healing, but because my eyes were "slightly dryer than normal". I think she was a little concerned, but I wasn't worrying, because my eyes felt great.

I didn't think about it too much nor was all too concerned.

Fast froward three months -to November.
I drove three thousand miles all the way across the country to the southwest. Driving across the pan-handle I started seeing stars, eyes started feeling sore, and I remembered the lasik side effects cited about starbursts when I got lasik.
But wasnt too bothered by it, because it was slight.

Fast forward to New Years in Mexico City. Eyes started feeling dry. Realized it was the lasik, and the high-altitude dry climate.

Went home, and for two months in Boston while it was still cold, dry, winter, my eyes really started bothering me.

Lately they have started to let up because of the warmer weather, and some days I can go virtually symptom free without even worrying about them, or the dryness at all, and think I am cured. But if it gets cooler out again (like today), my eyes start to feel dryish, and it starts bothering me again.

I attribute most of my dryness to colder, cooler weather. When it is warm out it does not bother me.

I hope this answers your questions.

The doctor has just said, "its minor winter nuisance drying, and I dont see it as a long term concern" "Next!" and "to keep using artificial tears."
Thats all.
He said Restasis is not necessary, when I asked him, and said to just keep using tears, or Genteal gel at night if I desire.

ANy thoughts??
boston
 
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Postby LasikExpert » Thu May 22, 2008 9:44 pm

It does sound like normal drying related to environmental conditions. Before Lasik you wore glasses or contact lenses that have helped protect your corneas. Now you are out there in the open and are going to notice everything.

You may want to talk to a doctor who is a dry eye specialist. If you have read the article linked above, you know that there are many types of dry eye and even more ways to treat it. It may be that puntal plugs in the upper punctum would add enough moisture to get you through these dry times. Restasis may be appropriate.
Glenn Hagele
Volunteer Executive Director
USAEyes

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
LasikExpert
Site Admin
 
Posts: 3309
Joined: Fri May 12, 2006 6:43 am
Location: California

Postby boston » Thu May 22, 2008 9:53 pm

LasikExpert wrote:It does sound like normal drying related to environmental conditions. Before Lasik you wore glasses or contact lenses that have helped protect your corneas. Now you are out there in the open and are going to notice everything.


Good point. I will keep my head up.

Do cooler temps always affect people worse?


LasikExpert wrote:You may want to talk to a doctor who is a dry eye specialist. If you have read the article linked above, I HAVE you know that there are many types of dry eye and even more ways to treat it. It may be that puntal plugs in the upper punctum would add enough moisture to get you through these dry times. Restasis may be appropriate.


Are you suggesting that my eyes will probably not improve naturally from this point forward?
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Postby LasikExpert » Thu May 22, 2008 10:12 pm

boston wrote:Do cooler temps always affect people worse?


Cool temps mean heating, which can dry out the air. Springtime means allergies, which cause dry eye problems, and allergy medications, which cause more dry eye problems. Heat means dry air outside and dryer air inside due to air conditioning, which is a de-humidifier.

boston wrote:Are you suggesting that my eyes will probably not improve naturally from this point forward?


It is always possible, but what seems more likely is that you have marginal dry eye or conditions that are exacerbated by the environment and these can commonly be treated.

Also, do you happen to be pregnant, peri- or postmenopausal, or taking hormone replacement therapy? All of these can cause simliar problems. As we get older (past age 40) dry eyes seems to be a great problem too.
Glenn Hagele
Volunteer Executive Director
USAEyes

Lasik Info &
Lasik Doctor Certification

I am not a doctor.
LasikExpert
Site Admin
 
Posts: 3309
Joined: Fri May 12, 2006 6:43 am
Location: California

Postby boston » Thu May 22, 2008 10:19 pm

I'm a 32 year old guy.
I will say, I've had some hormonal issues due to taking Propecia. Big mistake!! If anyone here is reading, Propecia (finasteride) is a very dangerous drug. I am still recovering after nearly 15 months off.
So I hope these continue to balance out.

I hope my eyes do too, and start making natural tears as they should. I used to just be able to rub them and they would feel better and lubricate more.
The winter months got pretty hard at times though.
Very uncomfortable.

I think I will order some sleep masks. Hopefully these will help cure this problem.
boston
 
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