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Superior Lid Parallel Conjunctival Folds/CCh

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  • Superior Lid Parallel Conjunctival Folds/CCh

    Has anyone been diagnosed with CCh in their superior bulba? Not quite SLK (but similar), as the staining looks like 2 green lines above my cornea that are parallel with my eyelid.
    When first observed by my specialist he was like, 'huh that's neat' and didn't say much more about it.

    Shortly after that, I developed blinking pain which VitAPos has resolved for me in the past. But this time, the blinking pain remained despite tear overflow due to being quadriplugged. My eye aren't dry anymore, and my corneas/ocular surface do not burn. I have had persistent blinking pain for 3 months now, and 1 month ago it became painful 24/7. ESPECIALLY when I close my eyes. Making sleep impossible! I have to sedate myself and put ice on my face and if I'm lucky I get 5 hours.

    My doctor proposed we do a botox injection to relieve the eyelid pressure which will reduce friction. However, this is not a permanent solution and I read that overtime, frequent botox injections could weaken the muscle permanently and end up with droopy eyelids. At this point, I've pretty much convinced myself I need AMT surgery to correct the bulbar folds. I have my next appointment this friday and just trying to hang in there. I also started taking rebamipide which has great results for treating lid wiper epitheliopathy specifically, but given that I have these folds in my bulba I am beginning to worry it will not be as effective in my case

    The only thing that helps with the inflammation/burning pain in inner eyelid is Azithromycin, but it doesn't address the friction so it always comes right back. I can't find hardly anything on the internet even mentioning superior CCh and how its treated and its relationship to lid wiper epitheliopathy.

  • #2
    I have LWE and LIPCOF from HOT air AC blowing in my car while wearing contacts for only 3 months. Truly a nightmare.

    My best bet i suppose is to do AMT surgery which I cant afford and would have to displace myself to the US to achieve but then im wondering how would I manage the LWE and ensure I dont create more LIPCOF. It seems like LWE is a life sentence. Unfortunately there are no treatments. Contacts were the biggest regret of my life. I am only 23 years old and this is physically painful and exghausting and even more mentally I am filled with regret and pain and hopelessness.

    The worst part is I have no signs of MGD or Aquarious disfunction. This is simply a cotant lensw induced mechanical dry eye. Devastated. I barely lived my life yet. So many things I wanted to do. I havent had a moment of relaxation ever since this happend 6 months ago.

    Went though 5 or 6 optos. The Optho barely gave me the time of day. Anyway the last Opto confirmed I have CCH.. but when I mention LWE they evert the lid but dont apply any lyssamine green which is pointless.

    Hoping to find a doctor to take me seriously and perform the proper test and diagnostics. I suppose its confusing for them as its not often they are looking for mechanical DE in a 23 year old.

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