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So, after 7 months waiting on the NHS (!) finally had an appointment with an eye consultant.
I told him my history having been previously diagnosed with dry eyes and more recently with MGD (I should say I could see the guy smirking at this point, as if he is thinking 'this chaps been on the internet'!) he preceded to have a look at my lids and said he does not think I have lid margin disease. I have conviced myself my lids are red but he disagreed. He said i'm barking up the wrong tree and to give it a rest on the compresses, massage etc. Anyway, having looked under my top lid as well he confirmed what I previously new that there is a papillary reaction suggesting a perennial allergic reaction, basically saying my issues are conjuctivitis. He also swabbed my eyes (ouch) to check for any infective conjunctivitis just in case, I doubt it is but glad to have it ruled in/out. He did not use the yellow dye though, and so did not check my TBUT. I have a follow up in four weeks, so might ask him to check in any case. So treatment for the next few weeks is:
Patanol (olopatadine) twice a day
Artifical tears prn
First day today, no significant difference
but early days.
My one query about the allergy diagnosis is that although I am pretty sure i have a dust allergy or something due to other symptoms, sneezing mainly, my eyes don't especially itch, they generally feel more dry than itchy? But, i can't see the harm in giving this a stab for a month and see how i get on.
I told him my history having been previously diagnosed with dry eyes and more recently with MGD (I should say I could see the guy smirking at this point, as if he is thinking 'this chaps been on the internet'!) he preceded to have a look at my lids and said he does not think I have lid margin disease. I have conviced myself my lids are red but he disagreed. He said i'm barking up the wrong tree and to give it a rest on the compresses, massage etc. Anyway, having looked under my top lid as well he confirmed what I previously new that there is a papillary reaction suggesting a perennial allergic reaction, basically saying my issues are conjuctivitis. He also swabbed my eyes (ouch) to check for any infective conjunctivitis just in case, I doubt it is but glad to have it ruled in/out. He did not use the yellow dye though, and so did not check my TBUT. I have a follow up in four weeks, so might ask him to check in any case. So treatment for the next few weeks is:
Patanol (olopatadine) twice a day
Artifical tears prn
First day today, no significant difference
but early days.My one query about the allergy diagnosis is that although I am pretty sure i have a dust allergy or something due to other symptoms, sneezing mainly, my eyes don't especially itch, they generally feel more dry than itchy? But, i can't see the harm in giving this a stab for a month and see how i get on.
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