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  • Lurking Forever, Finally Posting

    Hi -

    I have been lurking on DEZ for about 5 months now and want to introduce myself.

    Last May I began to have problems with burning and redness after computer use. I brushed it off at first but in the back of my mind I knew that there was a problem as my Mother has had problems with her eyes growing up - she always said that she had Sjogrens Syndrome.

    In June I went to an urgent care clinic for what I thought to be bad pink eye. It turned out that I had herpetic keratitis and bacterial conjunctivitis and was successfully treated for both with trifluridine and azasite respectively. After the urgent care Dr saw me for the 2nd follow-up, he said that I was totally cleared. To which I responded that my eyes still hurt. He shrugged and gave me a bottle of artificial tears. My eyes then felt better until the end of August. I returned to the Dr thinking that the herpetic ulcer had returned but nothing. Then on to another Optho Dr who shrugged and gave me artificial tears. My eyes still miserable - burning, red, blepharospasms, pain - I went to Stanford eye clinic where a resident did a long silent exam,. said that my eyes were aqueous deficient and that I had Sjogren's. And to use artificial tears.

    At this stage I began to do research on the internet about Sjogren's and was no less than horrified. Those were some dark days - all this and working full time and caring for a 2 year old and 6 month old. I had a small nervous breakdown that really put my family into crisis. All the while my mother is saying "Sjogren's is no big deal, it is totally benign" which I found utterly confusing from what I was reading EVERYWHERE. Ignoring Mom (which like most daughters is pretty easy) I proceeded to go deeper and deeper into a emotional hole awaiting an appt with a Rheum and a Stanford Corneal Specialist - Dr Chris Ta.

    My husband accompanied me to the Rheumatologist at UCSF who listened to me, looked inside my mouth, looked at my eyes (without a slit lamp even!) and told me that I did not have any symptoms of Sjogren's - my mouth was wet, my eyes were irritated but wet and while she would be floored if it came out positive, she would run the bloodwork anyway. The bloodwork came back negative. At which point I requested a lip biopsy. She told me neither she nor any other self respecting doctor would give me a lip biopsy with my lack of symptoms. At this point I asked Mom when she tested positive. Her response "oh I never tested positive, I have problems with my eyes, so did Grandma and we always assumed that it was Sjogrens" At this point I began to scratch my head.

    I finally got to my appt with Dr Chris Ta a Stanford who looked at my eyes, told me that they were totally healthy save for some very mild blepharitis and that there was nothing to do. He referred me to a Dr at UCSF who specializes in ocular herpes. I requested an appt at UCSF and was told that the next available appt was in a year.

    At this stage I found DEZ and OMG! What a catalyst for change this site has been for me. For starters it helped me find Dr Michael Gagnon, who treats me with care and knowledge. If it weren't for his treatment, I don't know where I would be today.

    Dr Gagnon diagnosed me with ocular rosacea and in doing so, my mother now knows that she has OR as well and NOT Sjogrens (she has since been tested for SS and is negative). So my mother and I are both seeking treatment at this time. Unfortunately for my Mom, here eyes have suffered from years of not being treated properly. They are sore, blood red, no eyelashes and she has a really bad chalazion on the one as a result of a recent infection. As for my Grandmother's Sjogren's, we will never know as she died several years ago. However, I believe that she too had OR or else just dry eyes from using Elavil for 40 years!

    I really want to thank Rebecca for this site and for all of the caring and compassionate people that post here. You have made a real difference to me and my family.

    Thanks, Gretchen

  • #2
    Welcome----glad you decided to start posting.

    It's good that you found a great doctor who listens!

    Calli

    Comment


    • #3
      Gretchen,
      I too have been di/xed with Sjogrens then was told I dont have it. My eyes have been painfully dry for two years.
      I was wondering what your new doctor prescribes for treatment? I have been using Restasis Genteal Gel, Refresh P.M. along with Evoxac for the dryness. I even tried serum drop at quite an expense.
      I still have much burning in my right eye. Just wondering what works for you.
      Thanks,
      Faithfully

      Comment


      • #4
        Hi -

        I currently am taking Oracea for my OR as well as for a recent diagnosis of facial rosacea (it is very mild). Last month I stepped down from 100 mg of doxy to Oracea (40mg) and I think that I can tell a bit of my symptoms are returning. I am also currently using Azasite for about 1 month but to no real perceived benefit at this time. I also take 4000MG of fish oil a day and use warm compresses.

        I would say that I am about 50-60%% better than what I was before I began doing anything. And some days I am totally normal. However, I still want to progress. I try to be positive as this condition has really taken a toll on my emotional health.

        I know that Sjogren's diagnosis can be very squirrely. When I was diagnosed with ocular rosacea, however, it really made much more sense. I suffer the same thing as my mother and she has pretty advanced facial rosacea which runs in our family. I only every "failed" one Schirmer's at my first appt at Stanford but I was having severe anxiety during the appt and the silence of the Dr that saw me made it worse. I remember my mouth being really dry and I was sweaty so I think that my nerves made the negative (around +3) on the Schirmer's.

        I also pulse Alrex sometimes and find that it really helps. It also helps psychologically to know that I have something to use in an emergency. While it is a steroid, it has a very good safety profile and so unless you are a steriod responder (very low probability) then you can use it pretty much as needed.

        I hope that this helps.
        Best Regards, Gretchen.

        Comment


        • #5
          thanks Gretchen for sharing your treatment. I do have Altrex and Lotemax and do use them from time to time. I do warm compresses too. When I first had the Schiermer test done I was zero in both eyes. Since then I measure around a five. The eye specialist attribute the increase to the Restasis working. I am not so sure.
          In trying to find out what is causing these sympton I have found I now how allergies for a first time. I now have weekly shots and take Singular.
          I do wonder if these allergies are the true cause of my dry eyes? Allso I wonder if Sjogrens is really just misses diagnosed allergies?
          Thanks,
          Faithfully

          Comment


          • #6
            Hi Faithfully -

            Actually, Dr Latkany believes that the 2 overwhelming causes of dry eye are allergies or ocular rosacea. From what I understand, it also takes a very astute Dr to be able to properly diagnose ocular allergies. I know that Dr L has caught this with some folks on this site where other Dr's have missed it. It might be worth a shot to go see him in NYC as a proper diagnosis esp with ocular allergies will go a long way to helping you get on the road to a fix.

            Good Dr's for DE are impossible to come by but crucial for recovery.

            Regards, Gretchen

            Comment


            • #7
              Gretchen,
              Do you have the phone number and address for this doctor? It would be worth a trip in that I have been to corneal specialists and several other eye doctors and I still suffer with dry and burning eyes.
              Thanks,
              faithfullly

              Comment


              • #8
                Faithfully -

                Dr Latkany is in Manhattan, NYC. His contact info, bio, etc can be found at:

                www.dryeyedoctor.com

                He also posts on this site in the professionals section. He really is the gold standard for Dry Eye care. If you could make the trip he can help you with the diagnosis and then give you a treatment roadmap to take back to your local Dr. Many on this site have made this pilgrimage : )

                I have not gone to him as I have found a terrific Dr through this site, Dr Michael Gagnon in NorCal. He diagnosed me correctly and is going down the long arduous trial and error road with me. Blessed are the good dry eye Optho's.

                Hope this helps.
                Gretchen

                Comment

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