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Suil Eile, Sometimes we find that the active component is helpful but the base is a problem, especially in chronic use with sensitive eyes, and whose aren't.
Eg with a 5-day short course of Azyter, the MGs cleared very well but there was a bumpy cherry red reaction underneath the eyelids that made me very glad we stopped. The reaction was during the course, but clear MGs were apparent the following week and continued into the next month.
This is why, with hypersensitive 'rosacea' type eyes, I'm holding off on this Optimmune formulation of cyclosporine for long term while we're doing OK, because of the paraffinum base. Maybe it's a bit like lipsalve in the winter - use it one day and it's great, the next day the lips are dry again and dependent on mineral oil (this was in some derm lit which I've lost. Mineral oil can be like this, depending on individual tolerance, and sometimes you start to want something more like a bio oil.) I'm thinking anything we put on the eye surface in chronic use is going to change it and therefore to be avoided, unless pros outweigh cons and there's a definite goal and the side effects can be fixed or heal. Maybe some of the bases of antibacterials used for eye infections are setting up dry eye this way.
It's becoming aware of the sensitivities that helps the most.
I think it's important to use it in an informed supervised way with an interested ophth, if you've got one. It's criminal that we are left to self-medicate on serious eye drugs.
Eg with a 5-day short course of Azyter, the MGs cleared very well but there was a bumpy cherry red reaction underneath the eyelids that made me very glad we stopped. The reaction was during the course, but clear MGs were apparent the following week and continued into the next month.
This is why, with hypersensitive 'rosacea' type eyes, I'm holding off on this Optimmune formulation of cyclosporine for long term while we're doing OK, because of the paraffinum base. Maybe it's a bit like lipsalve in the winter - use it one day and it's great, the next day the lips are dry again and dependent on mineral oil (this was in some derm lit which I've lost. Mineral oil can be like this, depending on individual tolerance, and sometimes you start to want something more like a bio oil.) I'm thinking anything we put on the eye surface in chronic use is going to change it and therefore to be avoided, unless pros outweigh cons and there's a definite goal and the side effects can be fixed or heal. Maybe some of the bases of antibacterials used for eye infections are setting up dry eye this way.
It's becoming aware of the sensitivities that helps the most.
I think it's important to use it in an informed supervised way with an interested ophth, if you've got one. It's criminal that we are left to self-medicate on serious eye drugs.
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