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    Old 01-29-2007, 11:11 AM   #31
    chuckcap
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    Quote:
    Originally Posted by Evie4 View Post
    Chuckcap,

    I think perhaps there my be a feeling that therapy of two weeks is appropriate in particular situations. When I first got my BCL, I went back after a week, the specialst said, "looking good" let's go with another week. Then the next visit the optometrist was "looks good" lets go without it. I immediately had RCEs. Went back, he said "looks good" but lets do another week and see how it feels. It really was week to week. In between all of that I found the board and learned a lot from other people and kept all the things in mind the doctors said. I asked a lot of questions too, some I didn't feel I always got the answers for (I may not have articulated myself very well). I'm not suggesting this, but it seems rational that if you are able to get through the days without contacts and resulting RCEs why not give your eyelids a break and protect your cornea at night when you RCEs are more likely? I couldn't have done that in the beginning with the injury I had. It is too bad that you have to wait so long to see the specialist...

    The Refresh is an artifical tear type product. It isn't preserative free, however I think it is in the class of drops which are second to preservative free. You can look that info up on line for the technical explaination of what happens to the preservative when you instill it. My optometrist said I can use this drop with or without contacts as many times a day as necessary. This drop works very well for me. I bought Genteal at our big box store and I can't use it. My husband can, not me, it feels like putting water in my eye--makes them feel irritated.

    If I were in your situation, I might consider using the preserative free vials until the eyelid inflamation is under control. I used those exculsively for the first two weeks after injuring my eye.

    You shouldn't feel bad for calling with your questions, that's what they are there for. They should be very receptive to you. Hang in there

     
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    Old 01-29-2007, 11:16 AM   #32
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    Good info Evie, I spoke to my doctor last week about the BCE. I figured what is worse he can say to me, "stop calling" Anyhow, he said the injury takes minium 6-8 weeks or more. Everytime you remove the contact you damage the area...Don't play with your contact, leave it alone for a month. He said your better off not wearing anything if your going to remove it each day? So far so good, no RCE since last Tuesday and only 2 in 2.5 weeks. I have noticed as long as I sleep normal without turning on my stomach no RCE. The last one I got was likely from smashing my eye on the pillow with the contact in...Ouch.

     
    Old 01-29-2007, 11:57 AM   #33
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    Chuckcap! Whew! Glad to hear things have been going better for you. I find the stress and anxiety associated with the RCE can get me down at times. I have been doing pretty well also. Because I got a really nasty cold last week, I decided to wear a lens through the weekend and not do the in and out thing. New contacts arrived Friday so I had put in a fresh one Saturday since the one I was using was “old”. I thought I’d give my eye Saturday afternoon free of the contact, but it was irritated and driving me nuts. It felt like something in my eye (I thought maybe something got in when I took the contact out). I went ahead and put the fresh one in to see if that helped and the sensation was gone. Don’t know if the “old” contact had irritated it or my removal was too aggressive—or both or neither. It’s out for the day today and feels great. It’s a fussy little cornea!

    Yes, sleeping on the eye/face is out. Whether it really contributed to my RCE or not, I don’t know but it just sounds like a bad idea. I do think that is what happened to me on the airplane though.

    If you are like me, two weeks will be the life of the contact. After that it starts feeling desiccated—especially when I wake up in the morning. Drops do little for it. I did experience that with my fresh contact this morning but I think it has something to do with my cold. Everything was dry, throat, sinus, mouth, nose, etc. I’m working very hard at keeping hydrated! (I’m not taking any decongestants either!)

     
    Old 01-29-2007, 02:13 PM   #34
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    Just reading through the disussion chuck and evie have been having. I thought Id throw some of my experience on the mix. I have been wearing my contact for 5 Months. This is not regarded as long itme by the corneal specialists here in NZ. When I first got it put in, they said they would review it after 3 months and if it went well we'd go for at least 9 months. I have it changed every 2 to three weeks, as with Evie, if it depends on how the contact feels. Sometimes its still fine after 2 weeks, still moist, still comfortable. Other times its quite dry and gritty feeling so Ill get it changed. My optometrist is really supportive and I just walk in and he fits me in for a change. Ive only just started feeling like im getting anywhere with my eye. Although the last two weeks have been a bit rough Ive had no erosions (touch wood) just feeling a bit dry and irritated in that eye. Its been over 12 weeks since I had an erosion. I use refresh single dispense containers (sdc) and for as long as you are using BCL i suggest you use the single dispense as well. Its a hygeine thing. It doesnt take much for a normal bottle of refresh plus liquid to get the tip contaminated even though the ingrediants are the same other than the preservative (carmellose sodium?). The preservative is fine with the contact and RCE its just the risk of contamination that makes me stick with the Single Dispensers. I now only have to use the refresh at night and in the morning. And if im having a rough week maybe once during the day. I use to use it all day long and wake up and put it in in the middle of the night.

     
    Old 01-31-2007, 07:54 PM   #35
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    Welcome Mosh to our suffering board...lol 9 months seems about right. The scary thing about that is the first few nights without the contact in. Right now its like security blanket for me. I too can't tolerate a contact much more than 2 weeks and right now I am at a week in a half and going. I constantly rewet my contacts all day so I use the big bottle of drops. I am using prescription lenses a long term in the RCE eye and my daily in good eye. Night time is fun looking out of one eye before bed. I just wish there was something we can do to speed up the recovery time. I am still on to see a specialist in few weeks, my luck they might pull the contact on me?

     
    Old 01-31-2007, 08:40 PM   #36
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    Hi everyone,
    I am just getting caught up on the posts. I had a pretty good week or so with the BCL, but then had erosions the first three nights of vacation. How frustrating. Wind, sun, and a margarita or two did me in, I think. Also fell asleep on my side the first night. Similar to what you all have already discussed, I have to sleep on my back.

    A while ago I asked my doctor whether each erosion was "back to square one." He said something along the lines that each time there is an erosion it causes some scarring, which in turn may give the cornea cell layers something better to anchor to and help to stabilize things, eventually. At least that is how I understood what he said. I don't know how generalizable this is. Has anyone else heard a similar explanation?

    Evie4, I hope your cold goes away quickly.

     
    Old 02-01-2007, 02:45 PM   #37
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    I never got a straight answer on that one. It would seem that a RCE damages the cornea then it has to heal over again. I think the time in between gives the cornea time to heal to the under layer??? Not sure. Does anyone know of anything over the counter that helps besides "tear drops" I have read something about a drop that helps the corena layer adhere better? Something MURO ?

     
    Old 02-01-2007, 03:51 PM   #38
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    Hi Moshpit--I’m fighting the dry eyes right now too. It has gotten cold here and virtually no humidity. I’m wearing my BCL at night and both eyes have been dry the past few mornings.

    Hi Sleepless221—Sorry hear about your RCEs. Alcohol used to make me feel dehydrated, don’t drink anymore but I do like my coffee! I’m trying to drink more fluids. Traveling produces dry eye for me. I wear glasses or sunglasses when I’m outside (on my walks) to keep wind from blowing in my eyes. I’m on day 10 and still stuffy but feeling MUCH MUCH better! It is going around the work place and everyone agrees this is no average cold.

    My understanding is that if the cornea is compromised (to the extent I did with my injury) leaving a “fingerprint” or a “map” that area is susceptible to erosion. This is what I understood from my specialist. He said if the erosions are on going, the use of a laser to essentially remove the “map” (I’m not sure how many layers of the epithelial) is effective for many patients. I got the distinct impression edges along the “fingerprint” are problematic--this leads me to surmise that erosions aren’t therapeutic.

    Chuckcap--I see that Muro drops are indicated for temporary relief of corneal edema. I don’t know anything about corneal edema or whether I’ve experienced it as a result of the eye trauma. The doctor never described that in all my visits. There were posters in the past that used Muro drops--maybe one will write or maybe you could start a new thread asking about it(?)

     
    Old 02-03-2007, 10:46 PM   #39
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    I started out using Muro 128 drops during the day and Muro 128 ointment at night. Why this worked for a while then stopped working I do not know for sure, although I think dry winter climate and not waking up as often at night with the baby may have contributed. I still use the Muro drops and ointment on the one night a week I take a break from the BCL. Because the Muro drops are not lubricating, I have started using preservative-free Systane drops if my eye feels dry, which it usually does.

    The Muro drops sting, like getting saltwater in your eye. The ointment does not sting, but it is kind of messy. Muro can be irritating, so even though it is available OTC it probably makes sense to check with your doc first. Baush & Lomb makes Muro.

    I had an erosion early this morning, so starting over again. Six weeks erosion-free (my current therapeutic goal) seems unattainable, but I've got a brand new BCL in now and I am hoping for a quiet night tonight. Everybody stay well hydrated!

     
    Old 02-05-2007, 09:49 AM   #40
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    I was told you have to keep the BCL lense in for at least 2+ weeks or even better for a month. My doc said removing and re insertion will cause damage and thus prohibit the area from healing... I was wonder if lasik surgery would help or make the condition worse? I was going to get the lasik last year but when my eye conditions started, I decided to put it off...

     
    Old 02-11-2007, 03:00 PM   #41
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    Lasik WONT help. People can actually have the bad luck of getting RCE form lasik. The surgical laser option for RCE is PTK. There is another thread with alot of info on that somewhere on this board.

    I gotta say Chuckcap. My eye started to feel a lot better when I went off those big bottles and stuck solely with the single dispense crackers. I actually use them more than once (the lid that snaps off can be put back on upside down and its sweet if you put them back in the fridge like that or in a cool place). I dunno wether the preservative was gunking me up or what I only know that it feels better for me with the Singles and thats when I went down to using less lubrication in my eye. Also, like you, I have the fear in me of the contact coming out. I dont think people with out RCE know how amazing it feels to have gone 13 weeks without an erosion. My optho tells me he wants me to stop using the contact in March and start using Muro 128. The thought of it just makes me want to stock up on painkillers and start flannels in the freezer for use on my eye when it blows out (nothing like a frozen flannel to sooth that eye pain).

     
    Old 02-12-2007, 01:15 PM   #42
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    All I can say is ouch! Nursing a cold and my problem eye. Its been about 3 weeks with my BCL in and over the weekend woke up in AM with eye irritation, bigtime. The sense like something was in my eye and real sensitive to light, tearing etc. I had no RCE but the eye feels like it? This is weird because I had to remove the contact for few hours and the tought of sleeping without it got me nervous. At what point does keeping the BCL in cause more harm? I called my eye doc for a few more samples today, they want to sell me a box? Not surprising, but they got a few more samples of the Acuvue Senofilcon A lenses. I hope it was just that time to change it rather than more eye problems... I also noticed some discharge on my eye lashes in the morning like a gel like? This is killing me!

     
    Old 02-12-2007, 07:06 PM   #43
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    I wouldnt take it out (the contact) when that happens. Even when I had an 8/10 erosion with the contact in I was still told to leave the contact in. I had a "getting used to it" period of about 3 months when I first got the contact. I used to have mild episodes maybe 1- 3 times a fortnight in the am with contact in. Just treat it with a cold wash cloth, stay still, lots of eyedrops. All that stuff. I NEVER touch the contact. Once in my first month I took out after an erosion cos I thought it was making it worse. It didnt help

    When it comes to the "gunk". I have it in the morning too, mind you be aware of your eye and be carefull thats it not an infection. I get it way less now that I use a damp wash cloth to absorb the extra eye drops I use it at night and also after changing to the preservative free drops it stopped being so gunky.

    I dont order boxes of my contacts either. Im just given an individual contact everytime I go to get it changed at the optometrist. Its not costing too much. Maybe NBZ$400 (US$260ish?) every 3 months with fortnightly visits to opto. Worth it to get my eye treated properly. (Although I admit Im not paying at the moment NZ ACC is.)

    I dont mean to sound like I know it all. I DONT. I just know Ive been dealing wiht this since Dec 05 and I only started making progress in August 06 (with BCL) and my experience with different eyedrops has lead me to believe the single use ones have less of a gunky effect. I ordered my Muro 128 today for use when the contact comes out. But I also renewed my prescription for tramadol as a back up pain relief plan. I was the most depressed I ve ever been in my life when I first had to cope with this RCE but I can tell you the hoplessness goes away. It gets better over time, or you cope with it better over time. Or maybe a combination fo the two.

     
    Old 02-12-2007, 08:41 PM   #44
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    Quote:
    Originally Posted by moshpit View Post
    I wouldnt take it out (the contact) when that happens. Even when I had an 8/10 erosion with the contact in I was still told to leave the contact in. I had a "getting used to it" period of about 3 months when I first got the contact. I used to have mild episodes maybe 1- 3 times a fortnight in the am with contact in. Just treat it with a cold wash cloth, stay still, lots of eyedrops. All that stuff. I NEVER touch the contact. Once in my first month I took out after an erosion cos I thought it was making it worse. It didnt help

    When it comes to the "gunk". I have it in the morning too, mind you be aware of your eye and be carefull thats it not an infection. I get it way less now that I use a damp wash cloth to absorb the extra eye drops I use it at night and also after changing to the preservative free drops it stopped being so gunky.

    I dont order boxes of my contacts either. Im just given an individual contact everytime I go to get it changed at the optometrist. Its not costing too much. Maybe NBZ$400 (US$260ish?) every 3 months with fortnightly visits to opto. Worth it to get my eye treated properly. (Although I admit Im not paying at the moment NZ ACC is.)

    I dont mean to sound like I know it all. I DONT. I just know Ive been dealing wiht this since Dec 05 and I only started making progress in August 06 (with BCL) and my experience with different eyedrops has lead me to believe the single use ones have less of a gunky effect. I ordered my Muro 128 today for use when the contact comes out. But I also renewed my prescription for tramadol as a back up pain relief plan. I was the most depressed I ve ever been in my life when I first had to cope with this RCE but I can tell you the hoplessness goes away. It gets better over time, or you cope with it better over time. Or maybe a combination fo the two.

    Mosh thanks for the info! I like your cold water rag thing, I've been using the hot water rag like its an eye injury again. My problem is that the eye gets so sensitive to light and tearing it drives me crazy...Today after I replaced the contact the eye felt slightly better (I know its in my head ) but its been about 2 days in row now that my eye feels terrible. I am sure my bad cold has some play in that but what can I do? Got 2 more weeks before I see the specialist for a second opinion.

     
    Old 02-20-2007, 10:23 AM   #45
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    Re: Corneal Abrasion, BCL, RCE and Blurry Vision

    If the surface stays irregular, have the ophthalmologist debride it and then allow it to heal in (takes 48 hours); if recurs have the ophthalmologist consider "tattoo" it. Good luck, these can be frustrating, esp. for people not so comfortable with lens wear.

     
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