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Medical Forum / General / Vision / December 2008Watery eyes?
For some years now, I have had a very watery right eye. My left eye also waters, but non nearly as much. I have tried to get help but am usually met with something like: As contradictory as it may sound, watery eyes are really an aspect of dry eye. I can go along with that, but this eye really seems to turn on a faucet. The tear duct id not blocked. I can sometimes taste eye drops. It sometimes does feel as if an eyelash hair got inverted. The tears form so fast that vision is greatly distorted. Blinking does not help much. The trouble may have started with cataract surgery. Is that possible? If so, what can be done about it? Since the cataract surgery, I have had glaucoma surgery (trabulectomy)as well. Bill  SignaturePrivate Profit; Public Poop! Avoid collateral windfall! > For some years now, I have had a very watery right eye. My left eye also > waters, but non nearly as much. I have tried to get help but am usually [quoted text clipped - 9 lines] > so, what can be done about it? Since the cataract surgery, I have had > glaucoma surgery (trabulectomy)as well. Bill, If you search, on PubMed, you'll find studies that show that cataract surgery INCREASES dry eye syndrome (reduced Tear Breakup Time AND Schirmer's). It seems that -- like LASIK -- this is probably an issue of severing the nerves that innervate the tear reflex. My guess: your dry eye simply became worse. Have you had quantitative testing to determine what sort of dry eye issues you have? If it's a quality of tears issue (TBUT) vs. quantity (Schirmer's), then you'd want a thicker (preservative-free) eye drop to help enhance your tears' viscosity. Have you seen a dry eye/anterior segment/ocular surface specialist for these issues? The shotgun approach isn't particularly valuable. Somebody who knows about things like meniscus, interferometry, rose bengal, fluoroscein, etc., etc., is much more likely, IMHO, to be of help to you. Neil In article <53b988f0-2930-49fb-b79b-47b6690598d9@d36g2000prf.googlegroups.com>, > If you search, on PubMed, you'll find studies that show that cataract > surgery INCREASES dry eye syndrome (reduced Tear Breakup Time AND [quoted text clipped - 17 lines] > > Neil I have seen several ophthalmologists over the years on this subject over the years. None of them suggested the possibility of a neurological deficit. Even with all the tears, it feels like something is on the cornea. I am talking about my better eye which is not all that good. The tear distortion does not help. 1. I really think that the surgeon who performed the cataract surgery on that eye was good. He moved away to consolidate his practice at one location. 2. His replacement seemed OK but left the USA precipitously. 3. Before he left, he sent me to an ophthalmological plastic surgeon who determined that the duct draining tears was functioning well. 4. The next ophthalmologist, I a still seeing had other problems to treat. 5. I went to a specialist surgeon to treat glaucoma, That puts dry eye in perspective. 6. I visited the same practice yesterday because someone notice my eye was unusually red because of irritation. Writing this up amazes me Six ophthalmologists in about four Years and still no effective dry eye treatment. Bill SignaturePrivate Profit; Public Poop! Avoid collateral windfall! >> Writing this up amazes me Six ophthalmologists in about four Years and > still no effective dry eye treatment. There really is not effective dry eye treatment. There are various meaures that help a bit but no cure. I, and I'm sure the other docs here too, spend a fair part of my day dealing with dry eye patients. If I had an easy, effective treatment, I would be very, very rich. Judy > >> Writing this up amazes me Six ophthalmologists in about four Years and > > still no effective dry eye treatment. [quoted text clipped - 5 lines] > dealing with dry eye patients. If I had an easy, effective treatment, > I would be very, very rich. Amen. The most effective treatments, though, are geared toward the underlying problem AND the kind of dry eye issue that YOU have (ie, quantity or quality issues). The fixes CAN be targeted. Proper targeting will increase the likelihood that you'll have some relief of symptoms. But it starts with a thorough exam, and an accurate Dx. There are LOTS of things that can cause dry eye issues, IF that is, indeed what you're experiencing. You may want to explore www.dryeyezone.com -- particularly their online forum. Lots of caring, helpful people participate, there. Also, if you're a glaucoma patient, are you managed with drops? If so, are those drops preserved with Benzalkonium Chloride ("BAK")? If so, then that could ONLY be making your symptoms worse.... In article <8bb8dc7b-ef24-43c5-bf2f-9a35aa4f60f9@v5g2000prm.googlegroups.com>, > But it starts with a thorough exam, and an accurate Dx. There are > LOTS of things that can cause dry eye issues, IF that is, indeed what > you're experiencing. As I pointed out earlier, I have seen many presumably competent ophthalmologists. What is the likelihood that I would get adequate dry eye examination if I complained about dry eye? Bill SignaturePrivate Profit; Public Poop! Avoid collateral windfall! > In article > <8bb8dc7b-ef24-43c5-bf2f-9a35aa4f6...@v5g2000prm.googlegroups.com>, [quoted text clipped - 6 lines] > ophthalmologists. What is the likelihood that I would get adequate dry > eye examination if I complained about dry eye? My oversimplified answer is this: if you were not seen by a doc who specializes in dry eye, then you may not have received the best advice currently available. Ophthalmology -- like most of medicine -- is very specialized. My (excellent) strabismus guy knows NOTHING about dry eye. If it were me, I'd see if any of the people on THIS list was close to me, or could recommend somebody close to me: http://www.tearfilm.org/dewsreport/pdfs/Membership.pdf This is the only 'significant' consortium that I'm aware of whose sole purpose is to advance the diagnosis and treatment OF dry eye. In article <8bb8dc7b-ef24-43c5-bf2f-9a35aa4f60f9@v5g2000prm.googlegroups.com>, > Also, if you're a glaucoma patient, are you managed with drops? If > so, are those drops preserved with Benzalkonium Chloride ("BAK")? > > If so, then that could ONLY be making your symptoms worse.... I have had trabeculectomies performed on both eyes because drops were not doing the job. The only drops I am using now are for the dry eye. I have had trouble with BAK. You might have clued me in on that. My not so good eye was really irritated at the time of surgery. Enough so, that a different post surgery medication regime was used. Bill SignaturePrivate Profit; Public Poop! Avoid collateral windfall! |
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