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  • Corneal Erosion/EBMD and corticosteroid nose spray

    Hi there!

    In August 2014 I was diagnosed with a corneal dystrophy (EBMD, map dot fingerprint) while on holiday in the UK. I had a corneal erosion at the time which was diagnosed and treated by an eye doctor at the opticians I got an antibiotic, artificial tears and lacrilube for at night . When I got back to the Netherlands, my GP referred me to the eye department at the local hospital. The ophthalmologists saw me until the erosion had healed itself completely and was given lacrilube for at night and told I didn't need to see them again unless there were problems...

    No issues at all until I was prescribed a corticosteroid nose spray (Avamys/Fluticason) last week by another specialist. 2 days of using the spray and I am pretty sure I have another corneal erosion/damage of some sort. (I only realised this could be a cause when the chemist I spoke to mentioned it could dry out eyes) could this indeed be a cause?

    I contacted the local hospital yesterday and as they haven't seen me in over a year they need another referral from my GP... I went to the GP this morning and he said dry eyes wasn't among the side effects for the nose spray and to continue using it. He took a quick look with a normal lamp, prescribed me what the opticians originally gave me and refused to give me a referral to the eye department unless it didn't get any better.

    My eye isn't that painful as such, but my vision is quite blurred in that eye. Is this likely to heal itself with the antibiotic/lacrilube etc or do I risk damage to my vision if it hasn't been properly looked at by an ophthalmologist?

    Any advice would be much appreciated.

    Cara

  • #2
    Could you list the ingredients of your spray? There are some that contain some stuff, that can be known to worsen dry eye, I did read about it in another post. Hopefully someone can confirm then if it's got one of them.
    People have recovered, so can we.
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    • #3
      Thanks for the reply.

      The main ingredient is fluticasone furoate.
      The other ingredients listed are;
      Glucose anhydrous

      Dispersible cellulose

      Polysorbate 80

      Benzalkonium chloride

      Disodium edetate

      Purified water

      I have no idea if these ingredients can dry out eyes,but from what I can gather the spray is designed to reduce mucous production in the nasal passages and sinuses, so it stands to reason it might therefore dry out eyes?

      Cara

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