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Medical Forum / Diseases and Disorders / Alzheimer's / September 2004

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Eye rubbing habit (compulsion?)

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AltamontNY - 21 Sep 2004 05:15 GMT
A 94 year old relative with dementia constantly rubs her one good eye.  She
lost the sight in the other eye when an infection entered the eyeball, and we
fear the same thing will happen with the other eye.  She has abraded the cornea
so much that she can no longer read, and the eye doctor describes it as looking
out a frosted glass window.

She has glaucoma of long standing, so, other than moisturizing eye drops, most
other eye meds like Visine are precluded.  Same thing about antihistamines, if
there is an allergic component to this.

When we ask if her eye itches, she says no, it is just a bad habit.  But within
a minute of telling her not to rub her eye, she's doing it again.
She's been doing this for several years, and her lower lid began to droop, and
this made the eye quite dry.  So we had surgery done (I call it an eyelid tuck
but it has a technical name), and this was successful, but she had undone the
results within 6 months.  I don't think a second operation makes sense.

She still lives alone, with housekeeper and family support twice a day.  She
understands the danger to her vision, but forgets very quickly.  While she is
pretty bored, that's not the cause, because she does it even while someone
plays Rummy (currently her favorite activity, other than eating sweets!) with
her.

She's on Aricept, Namenda, and a low dose of Seroquel (this has been very
helpful in reducing some anxious behaviors, but we don't want to up the dose as
that would sedate her too much).

Has anyone dealt with a problem like this?  Any ideas?  I've been thinking of
trying to locate a weighted wrist band (like ankle weights) that would not be
too restrictive, but that might help her to remember that rubbing is a no-no.

Liz
Evelyn Ruut - 22 Sep 2004 01:53 GMT
>A 94 year old relative with dementia constantly rubs her one good eye.  She
> lost the sight in the other eye when an infection entered the eyeball, and
[quoted text clipped - 44 lines]
>
> Liz

Hi Liz,

I just wanted to say that I noticed no one had any answers for you in this
thread.   I had none myself either and just wanted to say that it sounds
like a very perplexing habit to try and stop, and to offer my hopes that you
are able to get some good professional advice in dealing with it.   I know
that there are medications for obsessive, compulsive and repetitive
behaviors, but you need an expert to know which one might help.  Have you
consulted a psychiatrist on this?   They would be the one to know what to
try.

Signature

Regards,
Evelyn

(to reply to me personally, remove 'sox")

Adelle D. Stavis, Esq. - 22 Sep 2004 04:16 GMT
> A 94 year old relative with dementia constantly rubs her one good eye.  She
> lost the sight in the other eye when an infection entered the eyeball, and we
[quoted text clipped - 26 lines]
> trying to locate a weighted wrist band (like ankle weights) that would not be
> too restrictive, but that might help her to remember that rubbing is a no-no.

We never had anything like this to deal with. But I keep remembering someone
else saying that sometimes you need to look deeper - maybe there is a
medical reason for an action, not just the AD.

What has the opthamologist said? Are they positive there isn't something
like a thyroid problem, arthritic condition, or other medical problem making
the eyes dry or irritated? Are other mucous membranes dry? Is she
dehydrated?

If its truly just compulsion, some people have had their compulsions
stopped/reduced by taking Paxil or some other anti-depresants. What about a
hard plastic eyepatch which doesn't let her hand get into contact with the
eye? Would she keep it on?

Just some stabs in the dark.

Adelle
Dennis White - 27 Sep 2004 00:43 GMT
> A 94 year old relative with dementia constantly rubs her one good eye.  She
> lost the sight in the other eye when an infection entered the eyeball, and we
> fear the same thing will happen with the other eye.  She has abraded the cornea
> so much that she can no longer read, and the eye doctor describes it as looking
> out a frosted glass window.snip...

    Is it possible in this case that "a cigar is just a cigar?"  Perhaps
she is rubbing her eye because it "itches" and it keeps itching because she
keeps rubbing it.  You mention she has abraded the cornea.  In any case, I
would personally be loathe to consider OCD medication, etc.  without first
ruling out an optical problem!  Seek at least two medical opinions!
Dennis White
 
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