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    Old 05-23-2006, 11:58 AM   #16
    goba
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    Re: Problems with dry eyes?

    Hi girls, I'm new to this site. I had a tear test done yesterday and was told that I have dry eyes. They put me on Restasis and I'm also taking Biotears vitamins. I'm just about at 4 months since surgery. I didn't really know what was going on because dry eye symtoms are very painful and I think that they can be confused with other things. I get a prickly feeling under my eyelids, do any of you have that, and how long has it been since your lasik procedures. I just need to know that someone out there is going through this and that there may be light at the end of the tunnel. Thanks

     
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    Old 05-24-2006, 07:16 PM   #17
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    Re: Problems with dry eyes?

    Hi Goba!

    Welcome! I'm so sorry to hear that you are having dry eye problems though. Sorry that no one responded sooner, but we don't check this thread quite as much as we used to. This is actually a new thread that was created off of our original thread started back in July that had over 700 replies! We really kept each other company during the worst of our dry eye episodes! So, we all understand how hard dry eyes can be. The good news is that there probably is a light at the end of the tunnel. I am 11 months from surgery. I still have dry eyes and unfortunately mine have not improved much, BUT...ALMOST EVERYONE improves. Some of the other girls who post often in this thread have, and the large majority of people do. I'm still keeping hope that I will improve as well, and from what I've read it is still VERY possible that I will. At 4 months out, you are still VERY early in healing...you have plenty of time for your eyes to get better!! I think that mine are just being stubborn and taking longer than usual. Some people are just much slower healers than others. Hopefully you will be out of the discomfort zone in a few months. You just need to be patient and take extra good care of your eyes in the meantime.

    Is your dry eye causing alot of pain? I hate when mine is like that because it is so hard to focus and concentrate when your eyes hurt. I do get the "prickly" feeling you are talking about...kind of like my eye is scratching around in my eye socket. Sometimes it also feels like there is something in there, like an eye lash or something, but it is just the dryness. There are so many things that you can try to help relieve your symptoms though. I see you are on Restasis and supplements, that is a good start. What kind of drops do you use, and how often? You need to make sure they are preservative free if you use them often. Do you need to use gel or ointment at night? Are you a student, have a job, etc.? Sometimes lots of computer usage can make the dryness worse. Make sure you blink often when at the computer alot. This will keep your eyes from drying out. At work, I have a humidifier in my cubicle also which I think helps.

    There are so many other things you can try...protective eye wear, warm/cold compresses, punctum plugs, etc. It is hard to suggest anything though until we know exactly what your symptoms are. What tear test did you have done? Schirmers or TBUT? Do you know what your score was? Anyway, if you want, write back and give us more information and we can try to suggest some other things for you to discuss with your doctor that might help you get through this rough patch. Let us know, we've all been there and can hopefully help you out!! Also, if you have any questions, just let us know!!

    -Michelle

    Last edited by sdv; 05-24-2006 at 07:18 PM.

     
    Old 05-25-2006, 05:50 AM   #18
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    Re: Problems with dry eyes?

    Hi Michelle, Thank You sooo much for replying. You are so sweet I almost cried to know people do care!!! I had the Shirmers test done and he just showed me the strip and said my eyes were dry. I use Genteal PF drops, so far they seem to help the most. I have to use Muro ointment at night because of the erosion, which has gotten better. Thank God you didn't have that because for 2 months I was in constant pain. I use drops about every 2 hours now. By night my eyes are worse. I am a hairdresser which I know is probably not helping, but staring at a computer all day is hard too. I truly so far can't remember a day that my eyes have felt what I call normal. I hope that improves, and your message has given me hope. My doctor did say we could try plugs but I decided to try the Restasis first. I also have epethelial cells under one flap that they are watching. So as you can see that whatever side effect I could have I did!!! I will keep you posted and really appreciate the input. I feel better already talking to you !!!

     
    Old 05-25-2006, 02:52 PM   #19
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    Re: Problems with dry eyes?

    Hi Michelle, I hurried and wrote back this morning, but now I have a couple of questions. What did your doctor say about the healing time. Do you think that you have improved at all over the past few months? Have you tried the plugs and if so did they help. It definitely has been a character builder. I get mad at my self sometimes for doing this to myself, but it is too late for that and I have to try and think positive. I'm going to a smoky place tonight, which is freaking me out a little. Do you have drops that you like better than others? Thanks for any input. Today was not such a good day, I felt like I have bumps under my eyelids. Thanks again

     
    Old 05-25-2006, 05:34 PM   #20
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    Re: Problems with dry eyes?

    Hi Goba,

    So, if your shchirmers test is low, it must mean you dont' have enough tears. That is my problem. My schrimers test is usually below 5mm, which is pretty low. I really wish that I could tell you that I've seen improvements over time, I just really haven't though. I do think that most people do see improvements by the time they are 11 months out like me, I must just be slow. Honestly, my dry eye wasn't that awful in the beginning. I think it was a case of me just not feeling it because none of my corneal nerves had grown back yet. I know that my vision fluctuated alot more in the earlier months, so maybe my eyes were really dry, I just couldn't feel it quite as much as I can now. Please try to stay positive though! Ofcourse most of the stuff you look up on line says the dry eye should go away in 3-6 months. Well, once you really start getting into people that have serious problems (like we all do), that time frame gets extended a bit. My surgeon told me he has never had a patient NOT get better by 1 year post-op. I guess I will be that first one that didn't! But seriously....I've met alot of other people on other sites, and many of them had completely horrible outcomes when it came to dry eye, and eventually most of them did see improvements, it just took along time. Some of these people did not see any improvement until after 1 year post-op and even continued to improve well past that. Again, that is rare, you really should see lots of improvement in the coming months. I wasn't throwing that other stuff in there to scare you, but just to let you know that there is hope! It just might take some time for thing to start feeling better again. I am no longer seeing my surgeon because I didn't feel he gave proper post-op care. The doctor I'm seeing now says that most of the nerves should be regenerated by 18 months, so even she thinks I still have a good shot at getting much better.

    I have heard that the Muro is good for erosions. Yes, I was lucky not to have to deal with those. I can only imagine how painful they must have been. I use drops about every 2 hours as well. I have probably tried every on available, but right now I usually use Bion tears, the preservative free kind. I also use the Systane Free Liquid Gel sometimes too, it is a bit thicker than regular drops and seems to coat well. At night, I sleep with GenTeal gel and a sleep mask over my eyes to make sure they stay shut. Since you are using your drops so often, you really should be using preservative free stuff. Sometimes preservatives can irritate your eyes even more. I think that the Genteal PF ones that you mentioned are preservative free, so that is good. My eyes are usually also worse at night just because they are so tired and worn out from the day. Some days I just come home from work and totally crash because I can't stand it anymore! I also have epithelial cells and metal debris under the flap in my left eye. I guess the cells have not grown, so my new doctor does not seem concerned about them. I think that the longer out from surgery you are, the less of a problem it may be, but it is good that they are monitoring them just incase.

    I see that you are a hairdresser! WOW!!! That must be murder on the dry eye. I put off getting my hair cut and highlighted for months because I was dreading it. It was awful having those chemicals, and then a blow dryer hanging out so close to my face! My hair dresser must have thought I was an idiot for closing my eyes during half of it. You should be very careful since there is probably alot of hairspray and stuff floating around in the air. Do you do eye lid scrubs? That might help because if chemicals and sprays you work with settle on your eye lashes, they might cause further irritation to your eyes.

    About the plugs, I had three month temporary ones from December-March and I think they may have helped me a tiny bit. I only had the lower puntcum plugs. A few weeks ago, I got the silicon ones with the little cap, and I'm having some problems there. It is only because my doctor was very inexperienced though, and did not know what she was doing. The plugs migrated down into the canal (acutally the doctor pushed them in there...that was her mistake) and my new doctors can't really locate them. I'm seeing an ocuplastic surgeon in a few weeks to determine where they are and how to get them out. However, I would not discourage you from trying them...but ONLY the ones with the cap and make sure you have a good doctor. It is not a good idea to get the ones that go all the way into your canal, because then you might end up like me...in a situation where you dont' know where they are, and not sure if they are still there, still working etc.

    I know what you mean about a character builder. This has been a huge test for me, and I am failing miserably. I feel alot of guilt for having my surgery, and the pain from the dry eye is just so unbearable at times. It is crazy how much your life ends up revolving around your eyes when they are hurting. It has been a very depressing experience, BUT I'm trying to keep hope and hang in there and belive that better days are coming. As for your night out in the smoky area...hmmm...sometimes this goes OK for me, sometimes it doesnt'. I would just say to take lots of drops with you and make sure you use them often if you need to. ALso if you are drinking alchohol try to drink a glass of water for every drink you have. This may keep you from dehydrating from the alchohol. If your body is dehydrated, then chances are your eyes will be too!!!! I have had several occasions where I was freaked out and thuoght my eyes were gonna be awful because of somethign I was doing, or somewhere I was going, and I actually did quite well, so hopefully that will be the case for you too.

    I'm sorry you had a rough day, but I hope you can still enjoy your night! My day was actually half decent today. I've been in a huge rut lately, so I was very thankful for the bit of relief! I think I've covered most of your questions...and probably rambled on quite a bit more than I needed to, but I hope this helps! Write any time! I Hope you have fun tonight!

    -Michelle

     
    Old 05-25-2006, 07:40 PM   #21
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    Re: Problems with dry eyes?

    Michelle, Thanks for all of your input. I actually traveled 3 hours to go to the doctor that I did for the surgery because he is so good. I still think that he is and he has been there for me through a lot, but I had to find a doctor closer to my home and I just saw him Monday. He is the head of the opthamology dept at our medical center. He was a doll, and I really liked him. So, hopefully he will help me along. My evening went fine, but was ready to get out of there, and came home and did hot compresses, that helps me. I will keep you posted and hopefully you will start having some good days. I think we will get better, but time is not flying by like it used too. Take care and thanks again. goba

     
    Old 05-25-2006, 07:48 PM   #22
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    Re: Problems with dry eyes?

    Hi Goba,

    Yes, from the sounds of what you are doing and your treatment and all, it does sound like your doctor is handing things well. Glad you found someone closer to home though. I think I'm about to go do a hot compress too!! It sounds like you are doing alot of the right things, so I guess that is all we can do..just take the best care of our eyes that we can! When I found this board, I was about 4 months out from my surgery and I didn't know a thing! The girls on here had to give me all kinds of suggestions and stuff, so you are already way ahead of the game knowing how to treat the dry eye. The doctor at my lasik place gave me very few suggestions, so I was in the dark until I got a second opinion and found the girls on this site! Anyway, glad you had a nice night...I'm off to compress and go to bed! Have a nice holiday, and I hope that your eyes are comfortable too!

    -Michelle

     
    Old 05-26-2006, 01:57 PM   #23
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    Re: Problems with dry eyes?

    I think that it would be a good idea for you to try punctal plugs. I have had them for awhile now. I have the ones that Michelle described with the little flat top that pokes out. They are permanent plugs. You could also try the ones that dissolve after a few months.

    Last edited by azebo; 08-23-2008 at 01:41 PM.

     
    Old 05-29-2006, 08:49 AM   #24
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    Re: Problems with dry eyes?

    Dear Missy and Michelle, Hi, well just to keep you posted I went back to my doctor on Friday because my eyes were hurting sooo bad. Well, he did a tear test again. His intern had done the first one and he didn't leave the strips in for very long at all. So the doctor did another one and my test was normal. He said that he didn't think that I had dry eyes!! Well, now he thinks that I am having an allergic reation to the muro, because I have used it for 31/2 months day and night and it is very strong. So, he took me off the restasis and the muro. The only thing that I am using is the genteal pf drops and genteal gel at night because of the erosion problem that seems better. So we will see if this does the trick. That prickly feeling I was having was under my eyelids and he could see something that was irritated like an allergic reaction would cause. So, anyway I am keeping my fingers crossed that this is the problem and soon I will have some pain free days. Thanks for all your help. I will let you know the outcome. I hope you are all having a good weekend. Goba

     
    Old 05-29-2006, 09:12 AM   #25
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    Re: Problems with dry eyes?

    My girlfriend at the time and I had the LASIK surgery in Canada in May 2000. We were both heavily myopic - I was about -6 and she was something like -7! Back then the latest generation B&L Lasers with on-the-fly tracking of contours of your eyes were available only in Canada (not yet in U.S.), and the price was only about $1000. for BOTH eyes, so it was a no brainer. Off to Canada!

    We were both deemed good candidates for the surgery with thick corneas and not too steep contours, etc. Good tearing.

    The night of the surgery my eyes flat out HURT as if they were filled with sand, but within a day the pain was gone and the dry eyes disappeared within a couple of weeks. She had a similar experience, although my vision was already clearing up the day after the surgery (I could read license plates from far away as we were being driven around at night even), while she pretty much had to be led around like a bind person.

    We both went to as good as 20-15 within 90 days of the surgery. However, she went downhill rapidly after that and was -2 or even worse myopic within 6 months of surgery. The place we went to had a lifetime guarantee for subsequent surgeries, but she was over it and decided to just go back to wearing contact lenses. So, for her, the surgery was a failure.

    For me, I stayed at 20-15 for a year or so, then 20-20 for a couple of years, and then gradually my vision drifted to as bad as 20-35 at night. I am in my thirties. Right now my close up vision is exceptional - supposedly astonishingly perfect, but at night I need to get some glasses, especially for driving.

    I can't go back for that lifetime guarantee because the place in Canada went bankrupt. The reason I hesitate on another surgery locally is that supposedly if I do this my myopia will be corrected but then my superior close up vision will go back to the average vision of someone my age. Remember that 100% of people need reading glasses as they age. For whatever reason my close up vision is locked in to something so crystal clear that the doctors are shaking their heads and saying I may never need reading glasses at this rate, UNLESS I do another LASIK. So, I hesitate to go in for surgery when I'll just have to switch the current need for far away glasses with close up ones.

     
    Old 05-29-2006, 03:00 PM   #26
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    Re: Problems with dry eyes?

    I really hope that changing the Muro and Restasis helps you. If you are having an allergic reaction to them then that could be the problem.

    Last edited by azebo; 08-23-2008 at 01:42 PM.

     
    Old 06-05-2006, 07:26 AM   #27
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    Re: Problems with dry eyes?

    Hi Michelle and Missy, Well I'm still struggling here. It does seem a bit better, but I have a spot on both my eyes, and it almost seems that it is the same exact spot on both eyes that is giving me fits. I also had a bad burning day on Friday afternoon. I know that this is a dumb question, but what were some of your dry eye symtoms. I do think I used the Muro way too long as the doctor ordered. It draws moisture out of your cornea. So hopefully it didn't do something funky to my eyes. I admire your courage and am trying to stay positive. I had to stop the genteal gel at night until my eyelids clear up. So that may not be helping my little spots. Anyway, I'm trying to do the normal day to day and be positive. It has been 4 months since my surgery. Thanks for all your help and input. Goba

     
    Old 06-05-2006, 02:23 PM   #28
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    Re: Problems with dry eyes?

    Hi Goba,

    Sorry to hear that you had a rough day. I'm not doing so hot today either. But that is definitely normal. You'll have to get used to the ups and downs for a while until things even out. Hopefully that will be soon for you. I saw in another post that your tear scores were 18. Was that the schirmers one? Where they put the strips of paper in your eye? I noticed that you just joined up on Dry Eye Zone. I post as Shells over there. The people over there are great. I think overall it is good that you are off the Muro. It can mess with your tear film, but any damage should not be permanent. Give it a few weeks without and hopefully you'll notice a difference.

    -Michelle

     
    Old 06-05-2006, 03:41 PM   #29
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    Re: Problems with dry eyes?

    Hi Michelle, Yes that was the strip one. I'm wondering if the muro did do funky things to my tears and it may take a bit to get better. You guys are so knowlegable on these sites that it really helps to get the input. I know that 18 is normal , but my eyes were really prickly under my lid, and I have two spots on both eyes that get very irritated. The wierd thinf is that they are both about in the same spot. Anyway, I just pray alot and do everything that I'm supposed to and keep talking to you guys for guideance. Thanks and have a good night. Goba

     
    Old 06-05-2006, 03:53 PM   #30
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    Re: Problems with dry eyes?

    Hi Goba,

    Did they do a tear break up test (TBUT). That show how fast your tear evaporate off of your eye. Even if you have enough tears, they might not be good quality tears. That may be your problem. Do you do warm compresses and lid scrubs and all? Or has your doctor mentioned if you have something called blepharitis? Me and Missy both have problems with that too, and there are other things you can do to help that.

     
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