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Medical Forum / General / Vision / November 2007

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Dry Eye Therapy

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Keith - 18 Nov 2007 02:05 GMT
I am noticing considerably more itching in my eyes lately and my
allergist said this could be due to the molds that are in the
environment right now.  She said to use some dry eye drops like saline
drops.  I asked like refresh drops and she said yes.  I have some
refresh tears plus but they are almost expired.  My grandmother uses
Systane drops every morning so we have a constant supply of that in
the house.  What is the best drop for me to use.  Systane, refresh
tears, refresh tears plus, or maybe something else.  Also I also use
zaditor should I leave time between putting the two in and also can I
use these drops with contacts as do I have to take them out and if so
do I have to wait the 10-15 minutes until I put them back in.
Neil Brooks - 18 Nov 2007 04:32 GMT
> I am noticing considerably more itching in my eyes lately and my
> allergist said this could be due to the molds that are in the
[quoted text clipped - 7 lines]
> use these drops with contacts as do I have to take them out and if so
> do I have to wait the 10-15 minutes until I put them back in.

Rinsing out the allergens with saline solution is a good idea.  If you
can, use preservative-free saline solution, kept refrigerated.

All ophthalmic preservatives have the potential for making dry eye or
ocular allergy symptoms WORSE.

As to lubricating drops:

- again: avoid anything preserved, if at all possible

- given that caveat, you should try a few to see what works best for
you.  There really is no universal best

- As to using allergy drops: same caveat about preservatives.  Ask
your eye doctor if you can try PRESERVATIVE-FREE Acular (called Acular
PF, I believe).  IIRC, Zaditor is preserved with BAK -- perhaps the
WORST ophthalmic preservative, particularly for dry eye patients.  If
it comes in a PF version, then switch to that

- Waiting 10-15 minutes between instillation of one drop and another
is a very good practice.  Instilling drops with contact lenses in
(except contact rewetting drops) is a bad practice.

Best of luck!

Neil
Not a doctor
Glenn - USAEyes.org - 18 Nov 2007 07:22 GMT
We have a detailed article about dry eye treatment at

http://www.usaeyes.org/lasik/faq/dry-eye-treatment.htm

It is primarily for Lasik patients, but much of the information would
be applicable to any person dealing with dry eyes or allergens. We
include a listing of artificial tears and ingredients.

Glenn Hagele
Executive Director
USAEyes (R)
Patient Advocacy Surgeon Certification

"Consider and Choose With Confidence" (TM)

Email to glenn dot hagele at usaeyes dot org

http://www.USAEyes.org

Lasik Bulletin Board
http://www.USAEyes.org/Ask-Lasik-Expert/

I am not a doctor.

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