" State if the Art " eyedrops (Asia)

[aquaman]

More pictures from the Bovine Serum Drops: Calf serum Eyedrops. One of my doctors recently recommended this one as an alternative to the previous bovine one, saying ti was even better. I had shown pictures of the first one on my first post. This is being my first line of treatment, I think my corneas are improving immensely on it, I even got a 5mm today on my schirmer's on the right eye which was previously 0mm. It is very soothing for the eye and has a gel consistency. I'm hoping continuous use of this eyedrops can regenerate the nerves on my epithelium and they can communicate better with my tear glands.

[icycarol]

Aquaman
I saw the information on 綠洲乾眼forum, someone saw the doctor who do the labial transplant and post the response of the doctor. I have 1 and 2mm schirmer score last time I tested( months ago), I would do the transplantation if it help, just want to be caucious. And can I ask where can I buy the bovine serum drop? Do you know if it is preservative free?
Thanks for your post, I don't even know there are so many treatments in china.

Carol

[spmcc]

Yesterday, I went to cauterize my right tear duct and the doctor said that my eye wasn't bad enough for cautery. He told me that after having two Schirmer tests right there that confirmed 0mm on my right eye and 12 on my left.

I mean, if you've got 0mm how much worse does it have get to have the freaking thing?

Aquaman,

Have you tried any plugs yet? I re-read your first post and didn't notice a mention of plugs (please excuse me if you did mention plugs... I tend to miss things when I read now!).

Anyway, I have Schirmer's tests of zero in both eyes since ~2003. I now have all four punta cauterized shut. Having said that, I don't think I'd recommend that someone run for cautery. I went through *years* of plugs... dissolvable, permanent/silicone, and permanent intracanalicular. I tried plugging the lower puncta, then the upper puncta and then all four. Anyway, what I'm saying is that I think you should try different plugs first before cautery. You may hit upon the correct plug in the correct puncta and get the relief you need without any permanent change to your anatomy.

Good luck.
Sheila

[aquaman]

Aquaman,

Have you tried any plugs yet? I re-read your first post and didn't notice a mention of plugs (please excuse me if you did mention plugs... I tend to miss things when I read now!).

Anyway, I have Schirmer's tests of zero in both eyes since ~2003. I now have all four punta cauterized shut. Having said that, I don't think I'd recommend that someone run for cautery. I went through *years* of plugs... dissolvable, permanent/silicone, and permanent intracanalicular. I tried plugging the lower puncta, then the upper puncta and then all four. Anyway, what I'm saying is that I think you should try different plugs first before cautery. You may hit upon the correct plug in the correct puncta and get the relief you need without any permanent change to your anatomy.

Good luck.
Sheila

Hi Sheila, I have heard and read many, many bad things about plugs. Infections, corneal abrasions, falling out quickly and suddenly, getting stuck, dilation of the puncta... etc. I just decided it would be better just to get the cautery first and spare myself from all those torments. I hate the thought of a foreign body on my eyelids and since many people with a history of plugs end up getting cautery anyway, I thought of getting the cautery first but actually I'm more inclined towards the transplantation now. The one anatomical change I do regret having had is Lasik... Halos and Starbursts for 13 years and now this!

How about your cautery, has it improved you schirmer's? If I could just wake up in the morning without my right eyelid glued to the eyeball, that would be a great thing! When I use the serum drops I actually can, but I stopped for 5 days and it started getting stuck again, now I hope after resuming use of the drops again it will improve once more.

[aquaman]

Hi Carol, I hope you can find a solution soon, your schirmer is also quite low indeed. I will give you a link where you can buy the bovine serum drops http://www.essexbio.com/product.php?act=view&id=12, since you are in taiwan you may ask them in chinese.
I have tried this drop and I think it does have BAK, but I'm not sure.

The second drop I posted (20% calf serum) above was indicated by one of my doctors, he said it was much better than the other one. It does NOT have BAK, however it expires within a week after opened. Indeed it is very comfortable gel, the aminoacids it contains actually form a protective "skin" over your cornea, and the lubrication and protection last a long time, I barely need to use artificial tears for 5 or 6 hours after applying it, and I'm convinced it can heal the corneal epithelium nerve endings. I buy it directly from my local eye hospital, they probably purchase from the laboratory itself.

Can you give me the link to the forum you mentioned? So the patient was dissatisfied with the transplantation procedure afterwards? Did he originally suffer from aqueous deficiency or Meibomian deficiency?

[LaDiva]

Thank you for the information! I'd love to try those probiotic drops. Hope you continue to do well, and will keep us posted.

[surya]

Aquaman, is there a link where we can buy mucosta and probiotic drops?

[spmcc]

Hi Sheila, I have heard and read many, many bad things about plugs. Infections, corneal abrasions, falling out quickly and suddenly, getting stuck, dilation of the puncta... etc. I just decided it would be better just to get the cautery first and spare myself from all those torments. I hate the thought of a foreign body on my eyelids and since many people with a history of plugs end up getting cautery anyway, I thought of getting the cautery first but actually I'm more inclined towards the transplantation now. The one anatomical change I do regret having had is Lasik... Halos and Starbursts for 13 years and now this!

How about your cautery, has it improved you schirmer's? If I could just wake up in the morning without my right eyelid glued to the eyeball, that would be a great thing! When I use the serum drops I actually can, but I stopped for 5 days and it started getting stuck again, now I hope after resuming use of the drops again it will improve once more.

Hi Aquaman,

If you get some dissolvable plugs (10-day or 3-month), you won't feel them in you at all. And I've had the 'procedure' where it felt like a feather was tickling my lids. Some doctors are PROS at placing them... of course, some aren't. If you go to a Lasik place, they are usually *really* good at placing plugs because they are the people who cause so much dryness (ironic?!?!). Anyway, I went to a Lasik place for my dissolvable plugs over and over again (FYI I've never had any refractive surgery - my diagnosis is ocular rosacea).

If you get permanent/silicone plugs, you may feel them... moreso in the upper puncta than the lower (because of anatomy, the upper puncta direct the plug's 'top' toward the ocular surface). I've had lower plugs of this kind and I could feel them if I moved my eyes around. But often I couldn't feel them. Yes, they can pop out. If you get a Pro to fit and place them, this is less likely.

As for intracanalicular plugs, PLEASE STEER CLEAR! I had them in all four puncta and developed canaliculitis within 24-hours of having them placed in my upper puncta (the lower puncta had been sealed with intracanalicular plugs for 8 months already with no problem). I was lucky... when I had all four puncta flushed, my infection cleared up. But there are horror stories of intracanalicular plugs (i.e., SmartPlugs by Medennium) getting stuck and requiring surgery. There is info here on DEZ if you search either term.

I really believe that the best course is baby steps. There is no harm in starting with some dissolvable plugs. You can at least see if they will give you more tears. Perhaps not... and then you go to the next step. Nothing is permanent so you can always start again at the 'beginning'.

My Schirmer's tests are still zero, but my eyes are more comfortable (esp in the evening). I wear Wiley X moisture chamber glasses all day long. For nighttime (my worst time), I use Muro 128 solution, tape my eyes shut and then put on a pair of Tranquileyes. That might seem like overkill, but I know my eyes open a little while sleeping and I *hate* the pain of mornings so I go overboard with protection at night.

I hope you find something that helps. Again, I think plugs (esp dissolvable) are a no-brainer, but it's your choice. Good luck with everything!
Sheila

[MartyM1985]

Hi Aquaman,

If you get some dissolvable plugs (10-day or 3-month), you won't feel them in you at all. And I've had the 'procedure' where it felt like a feather was tickling my lids. Some doctors are PROS at placing them... of course, some aren't. If you go to a Lasik place, they are usually *really* good at placing plugs because they are the people who cause so much dryness (ironic?!?!). Anyway, I went to a Lasik place for my dissolvable plugs over and over again (FYI I've never had any refractive surgery - my diagnosis is ocular rosacea).

If you get permanent/silicone plugs, you may feel them... moreso in the upper puncta than the lower (because of anatomy, the upper puncta direct the plug's 'top' toward the ocular surface). I've had lower plugs of this kind and I could feel them if I moved my eyes around. But often I couldn't feel them. Yes, they can pop out. If you get a Pro to fit and place them, this is less likely.

As for intracanalicular plugs, PLEASE STEER CLEAR! I had them in all four puncta and developed canaliculitis within 24-hours of having them placed in my upper puncta (the lower puncta had been sealed with intracanalicular plugs for 8 months already with no problem). I was lucky... when I had all four puncta flushed, my infection cleared up. But there are horror stories of intracanalicular plugs (i.e., SmartPlugs by Medennium) getting stuck and requiring surgery. There is info here on DEZ if you search either term.

I really believe that the best course is baby steps. There is no harm in starting with some dissolvable plugs. You can at least see if they will give you more tears. Perhaps not... and then you go to the next step. Nothing is permanent so you can always start again at the 'beginning'.

My Schirmer's tests are still zero, but my eyes are more comfortable (esp in the evening). I wear Wiley X moisture chamber glasses all day long. For nighttime (my worst time), I use Muro 128 solution, tape my eyes shut and then put on a pair of Tranquileyes. That might seem like overkill, but I know my eyes open a little while sleeping and I *hate* the pain of mornings so I go overboard with protection at night.

I hope you find something that helps. Again, I think plugs (esp dissolvable) are a no-brainer, but it's your choice. Good luck with everything!
Sheila

I agree. It is silly to get cauterized without trying plugs. I have permanent uppers and lowers and they have helped tremendously. If you feel them scratching your eye, the doc can take them out the next day or even the same day.

I wouldn't be so scared of the plugs, really. I have had them for a year and have had zero issues.

[icycarol]

http://www.dryeyecn.com/forum.php?mo...extra=page%3D1

I post the discussion of labial transplantation for you. Since you live in china, you may contact the doctor directly.

Carol

[aquaman]

Aquaman, is there a link where we can buy mucosta and probiotic drops?

http://item.taobao.com/item.htm?id=5841656170

I found a person who sells the probiotic drops online, I however purchase 'em from a pharmacy.
Check the reviews on it, if you have a browser translator. There are like 300 reviews and a cult-like following to it.
Apparently, one can only buy the compound with a chinese bank card.

[HNautumn]

aquaman, thank you for your post about the medicine and treatment available in Asia. Here in Europe (Netherlands to be exact) all they have to treat dry eye is artificial tears .They dont have Retasis here.
I would love to try all the drops you've posted above if I have chance because when your eyes are hurt you feel like you would do EVERYTHING to make it feel better.
Oh do you intend to do the salivary implant surgery? keep us posted about your treatmemt

[alex123711]

Any advice on which eye specialists to go to in China/ asia?

[aquaman]

Any advice on which eye specialists to go to in China/ asia?

Alex, Beijing Tongren Hospital has the best team in China.

[yongsua1995]

About bacterial eye drop for vernal conjunctivitis

Hi,Aquaman.How can I find the bacterial eye drops or bacterial eye drop which you mentioned it can cure vernal conjunctivitis in the first post?What is the name of this products?Can I find it in Malaysia in Singapore?How about other products too like Santens Disquas and Mucosta?Thanks.