Announcement

Collapse
No announcement yet.

6 years after PRK dry eye mostly gone with two punctal plugs

Collapse
X
  • Filter
  • Time
  • Show
Clear All
new posts

  • 6 years after PRK dry eye mostly gone with two punctal plugs


    Itís been almost 6 years since I had PRK and my eyes are feeling good. I used to have four punctal plugs but two of them fell out probably 4-5 years ago and I waited to see if I could get by without them. So now I just have two plugs, one in each eye. I have a .5mm Eaglevison Superflex plug in the lower tear duct of my left eye and a .6mm Superflex plug in my upper right eye. I donít really notice them and they have never really given me any trouble. My eyes are pretty normal nowadays and I havenít really had any major problems for years. My eyes still get a little dry when Iím sleeping but most nights itís not really noticeable. Every 2-4 months I do get a night where my eyelids stick to my eyes a little and that can cause some pain for a few minutes sometimes but then my eyes start to water and it goes away. They can still get a little dry if Iím doing dusty yard work or stay up really late. I donít have drippy eyes like I did with four plugs but that wasnít all that bad anyways. I havenít used drops of any kind for years. If my eyes get a little dry I just close my eyes and while they are closed I squeeze my eyes shut a few times like Iím yawning to get my lacrimal glands to release some tears. Also if I pretend to yawn a few times I can usually encourage a real yawn which makes my eyes water. Anyways thatís pretty much all I have for an update. Hope everyone is doing well.

    Here are a few links to my previous posts if you are looking for more background story.

    http://www.dryeyezone.com/talk/forum...ctal-plug-tips

    http://www.dryeyezone.com/talk/forum...f-punctal-plug

    http://www.dryeyezone.com/talk/forum...y-studies-link

    http://www.dryeyezone.com/talk/forum...months-post-op

    http://www.dryeyezone.com/talk/forum...k-eye-speculum
    Last edited by PRK; 07-Nov-2017, 14:30.

  • #2
    Anyone else out there who has seen improvement with plugs or punctal cautery?

    Comment


    • #3
      Thanks for posting this, it has given me the motivation to insist on at least trying plugs with my OD. Fingers crossed I notice some improvement

      Comment


      • #4
        Sure thing Mestizo, hope you are able to find some relief.

        Comment


        • #5
          PRK I also had PRK (2 years ago). I suffered from slight dry eye after wearing contacts for years, but never had significant functional problems. After PRK though, the dry eye got so bad that I can't and still don't sleep without applying Systane gel every night. I got punctal plugs 3 months ago and I'm waiting to see if they improve the situation.

          At what point did you start to experience noticeable relief? Do you think it's attributed to the passage of time or to the punctal plugs or something else entirely?

          Comment


          • #6
            Hi Mask2323, sorry for the late reply. Iím assuming you got silicon plugs? I didnít see any improvement from temporary plugs at all. When I had 2 silicon plugs placed in my lower tear ducts I saw a little improvement but not much. It was only when I had all 4 tear ducts plugged (the uppers and the lowers) that I had significant relief. I was able to tell the difference as soon as I left the doctorís office. I also feel that having ďwetterĒ eyes is a better, more natural state for the nerves to heal verse a dry eye. Therefore I attribute my eyes healing to the punctal plugs.

            Comment


            • #7
              Originally posted by PRK View Post
              Hi Mask2323, sorry for the late reply. Iím assuming you got silicon plugs? I didnít see any improvement from temporary plugs at all. When I had 2 silicon plugs placed in my lower tear ducts I saw a little improvement but not much. It was only when I had all 4 tear ducts plugged (the uppers and the lowers) that I had significant relief. I was able to tell the difference as soon as I left the doctorís office. I also feel that having ďwetterĒ eyes is a better, more natural state for the nerves to heal verse a dry eye. Therefore I attribute my eyes healing to the punctal plugs.
              Do you have MGD as well? If so, did the plugs effect your lids?

              Comment


              • #8
                As fair as I know I donít have MGD. I have always been pretty nearsighted and can actually see the oil is clear/free flowing when I express my glands. I did a little research on plugs and MGD. Seems like they shouldnít effect the glands but it is better to get the glands working better and reduce any eye inflammation before getting plugs. Youíll have to try to determine if you feel like you have reduced tear production or not. I would also recommend Theratears for drops if you can find them since they have the lowest osmolarity which should help with inflammation.

                Osmolarity
                http://www.mastereyeassociates.com/t...cant-eye-drops



                https://www.reviewofoptometry.com/ar...ime-of-dry-eye
                "Punctal plugs. In patients with MGD or blepharitis, donít insert plugs until after anti-inflammatory treatment. Otherwise, the plugs will retain the abnormal tears that have high concentrations of pro-inflammatory cytokines
                . There are many treatment options for Chronic Dry Eye, and depending on the cause of your Dry Eye, the treatment or combination of treatments prescribed can vary by patient. The majority of Dry Eye sufferers have Meibomian Gland Dysfunction (MGD); thus, treatment of MGD should focus on and include clearing blockages in the Meibomian glands.
                Less commonly, Dry Eye can be caused by reduced tear production. This affects a smaller proportion of the population; however, some patients may have both MGD and reduced tear production. Treatment for reduced tear production may require the use of a prescription medication in the form of an eye drop, tear replacements, punctal plugs are other therapy."


                http://www.ophthalmologytimes.com/mo...-eye-therapies
                ďPunctal plugs help retain tears on the ocular surface to help alleviate dry eye disease,Ē he said. ďHowever, the study cohort varied in their chronicity and severity of dry eye disease in addition to difference in the therapies used. As a result, the change in different dry eye signs and symptoms is expected to be different across the study subjects.Ē Tear osmolarity may be a leading indicator of therapy efficacy in DED with punctal plug insertion. Thirteen of the 28 patients had reduced osmolarity over 10 mOsm/L. Only eight of the total 56 eyes had a reduction in staining. The changes in the symptoms score were similar between the treatment and sham groups. There were no significant changes in meibomian gland function or lid grading."

                http://www.optometrytimes.com/modern...-punctal-plugs
                "For patients who are meibomian gland dysfunctional, plugs are particularly beneficial; however, it is important to first address any underlying clinical concerns first. LipiFlow (TearScience) is useful in diagnosing clogged glands, and we can then try to rehabilitate those glands. Once flow is improved, plugs are a suitable option. As a first-line treatment, I would plug patients who are solely aqueous deficient or who suffer from superior limbic keratoconjunctivitis (SLK), auto immune diseases, anatomy problems, and filamentary keratitis."

                Comment

                Previously entered content was automatically saved. Restore or Discard.
                Auto-Saved
                Smile :) Biggrin :D Wink ;) Rolleyes :rolleyes: Tongue :p Cool :cool: Redface :o Confused :confused: Eek :eek: Frown :( Mad :mad:
                x
                Insert: Thumbnail Small Medium Large Fullsize Remove  
                x
                Working...
                X