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Tip: Dwelle/Dakrina

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  • Tip: Dwelle/Dakrina

    I have noticed that sometimes Dwelle and Dakrina feel "powdery" when put in the eye and tend to sting. I think that since there is a solid component in the drops, a good idea might be to shake gently the bottle before use. When I do, it always feels fresh and oh-so-nice...!

  • #2
    Where do you get Dwelle or Dakrina?, is it by prescription?
    Dr eyes caused by long term contact lens wear

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    • #3
      Click me!

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      • #4
        NEIL....Consider yourself clicked!!!

        Neil,
        After reading posts for over a year and trying to contribute...and having learned so so much from everyone..Have 1 question for you...Are you a candidate for a corneal transplant??? Just curious...(Have a friend who had sucessful transplant many years ago) Ziggy

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        • #5
          Ziggy-

          My primary care ophthalmologist (not a corneal specialist) has talked with me, on several occasions, about exploring corneal surgery--whether penetrating keratoplasty, lamellar keratoplasty, limbic stem cell transplants, and/or conjunctival graft.

          In all honesty--largely because my ability to read is rather limited--I simply haven't invested much time into researching these options, and--given my history--am reluctant to endeavor such complex and risky procedures (with reasonably LOW success rates AND long recovery times) without learning everything I can about them. I also have to understand a bit better what sort of damage the BAK would have done to the entire front surface of my eye (probably by posing a few direct questions to Dr. Baudouin).

          If the hyperesthesia is rather limited to a fairly central area, then that may be an easier issue to manage or repair than if the nerve damage affects the entire anterior segment. I'll have some general idea of this based on a trial of the Boston Scleral Lens.

          I think of these sorts of procedures as MY 'last options,' but hope not to need them

          Where I AM putting my energies right now is trying to understand all the pro's and con's of refractive lens exchange (cataract) surgery and intraocular lens implantation, followed by use of contacts like Night & Day or Oasys, worn as bandage lenses and used to mop up any remaining refractive error. I still have dramatically better comfort WITH soft contact lenses than without, but--based on my strong underlying prescription--I have to wear pretty thick, pretty poor oxygen-transmitting contact lenses that likely are far less comfortable than the newer materials. Only way to get into the better lenses would be to decrease my basic Rx.

          ....and I'm not doing that with a laser ....

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          • #6
            did the iols

            ! wore contacts for 40 yrs, causing scar tissue. That finally started acting up to what was dx'ed as trigeminal neuralgia...Lota more Pain...Tryed debridement on right eye 1 year ago using diamond burr, which was done at Mayo...Eye was better.For nerve pain, meds and acupuncture relieved pain...I decided to get rid of glasses and contacts for good..The trigeminal neuralgia dx scared me silly..Enuff to have Rezoom iol implants...awesome visual outcome but with more dry eye pain. I had top ducts lasered shut!! THEN..The scar tissue in the left eye started becoming painful..throbbing pain...So went ahead with 2nd debridement,(locally) a blade was used on small area...The contact lens band aid was taken off too soon..and this erosion is not healing as it should...Docs put me on Muro 128..If I can ever resolve the pain issues I be so so happy..However I am very satisfied with the visual out come of my Rezooms...

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            • #7
              glasses

              forgot to add I was a +7...

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              • #8
                Wow, Ziggy. You've had a long, rough, dry, and rocky road yourself. I'm so sorry for all of these issues. I understand how frustrating/debilitating they are.

                +7.00d is certainly a lot of hyperopia. Just based on your 40yr history with contacts, I'm guessing you're old enough to have been presbyopic, too (high hyperopes achieve this earlier anyway), so I'm SURE the multi-focal IOL must be a pretty neat thing. Is your vision clear at near, intermediate, AND far distances?? Do you need any additional correction (reading glasses)?

                Your comment about getting driER eyes after the IOL procedure is--obviously--exactly what scares me. There's verrrry little data out there, BUT ... what I've seen seems to indicate that cataract surgery is good for roughly 2.5 mm reduction in Schirmer's AND about 2 seconds reduction in TBUT. Both of those would take me to zero.

                I'm sorry about all the side effects, but ... I bet it's cool to wake up and see!

                Eye pain s**ks. No two ways about it

                Keywords: IOL - intraocular lens - implant - MFIOL - cataract

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                • #9
                  drier from surgery!!!

                  The iol surgery caused dry eye pain..more burning sensation then I had ever experienced. I still had the upper punctum to go, so had that rabbit to pull out of a hat yet...It made the difference. Now I still deal with recurrent corneal erosions, but figure they should be able to be dealt with..NOt gonna throw in the towel yet!!! And yup, am a 58 yr old female who was wearing contacts when they first hit NORD-EAST NORD DAKOTA!!! Since wearing band aid lens a couple times I can't get over the comfort difference from my old lens..The Rezoom implants took about 6 months to settle down..and still have some car halo issues..But I am Neuro adapting and having no problem driving at night. There is a new iol coming SOOOON that might be better for night vision...And left eye is slight nearsighted now..-1.25..not much of a problem..after years of nearly blind...GOOD LUCK, Neil and thanks for the answer to my question...ZIGGY

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