Reducing osmalarity

[DryLondoner]

Yes - they do take a bit of getting use to!

The confocal looks at the nerve re-growth. And if there are any issues. My LASIK people didn't want me to get it done, but I thought it might help establish issues. Some folk on here have had it done.

[DryLondoner]

Dominorose, I've never heard of Cationorm drops - will check them out.

[No tears in ATL]

Dry Londoner,

From reading some of your posts on this forum, it seems as though we have a similar problem. You mention sensitivity to drops, especially sodium HA.

I, too, am terribly sensitive drops, and had to stop them altogether. There was an adjustment period, maybe a couple of weeks. It was not pleasant.

Though I am not a medical professional, I would encourage you to try a length of time without too much drop usage to see how you feel. Stick with moisture chambers, serum (if available), limited steroid use (1 drop in the morning, maybe at noon), omega 3, limit stress and screen use, dry environments.

PM me if you have questions.

[DryLondoner]

Hi NoTears,

Thanks for the advice. If I don't drop at all they seem to burn even more, but you're right I need to fight through the pain and get to the other side. I am hoping to get serum soon as I found out recently that my nerves are regenerating as they should and that is why I am having so many problems. I hope I can get it and that it helps!!

Can you go outside without drops?

DL

[cathy8889]

Hi Dl how did you find out your nerves were regenerating? The only drops I can use are vismed multi 0.18 and thera tears. I'm feeling so overwhelmed again, my eyes felt better for two weeks and today they're feeling like they are burning, trying to work with these eyes is no fun.

Thanks x

Hi NoTears,

Thanks for the advice. If I don't drop at all they seem to burn even more, but you're right I need to fight through the pain and get to the other side. I am hoping to get serum soon as I found out recently that my nerves are regenerating as they should and that is why I am having so many problems. I hope I can get it and that it helps!!

Can you go outside without drops?

DL

[DryLondoner]

So sorry to hear that Cathy. Do you keep a dairy to help establish any patterns? Hopefully they will feel better again soon. It is tough, I spend all my time berating myself about putting myself in this position. Bur I know there have been and will be better days.

I should have written my nerves are not regenerating as they should. I had a confocal microscopy at Moorfields. I've been told the only thing that can help is time and possibly serum drops. I also found out I have a dodgy blink - something else to work on.

PM me if you want more details. For me, as I had no idea what was wrong it gave a few answers.

[cathy8889]

Hi DL

Thanks I dont know whats happened today, my eyes have still been dry over past two weeks but the feeling im getting now is like 4 months ago. I started cutting out dairy, sugar and carbs about three months ago and im slowly letting them all creep back in and im wondering whether this is showing in my eyes. I should start a diary definitely.

Im sorry theyre not regenerating like they should. Do you mind me asking how you go about having a confocal microscopy, ive never heard of one before. Also are you looking in to getting the serum drops?

Im going to see a new oph on tuesday and I want ask about my blink, did an oph tell you you had a dodgy one?

Ive been using drops twicr an hour and im just wondering whether my eyes have completely had enough. It just i cant stand redness that comes from dryness, but now my eyes are stinging when put drops in, feel like im back to square one, oh to not have these worries again.

Thanks xx

So sorry to hear that Cathy. Do you keep a dairy to help establish any patterns? Hopefully they will feel better again soon. It is tough, I spend all my time berating myself about putting myself in this position. Bur I know there have been and will be better days.

I should have written my nerves are not regenerating as they should. I had a confocal microscopy at Moorfields. I've been told the only thing that can help is time and possibly serum drops. I also found out I have a dodgy blink - something else to work on.

PM me if you want more details. For me, as I had no idea what was wrong it gave a few answers.

[DryLondoner]

You know one thing, if this darn thing ever leaves I will never complain again, I just want to go outside without thinking and live again! I really hope those drops someone else posted for you materialise - it's tough. I hope you have friends and family who are supportive.

I had my confocal with Scott Hau at Moorfields, he works with Stephen Tuft, who I was also hoping to see but the appointment was messed up. I paid for it, as I don't want to waste time waiting for these things on the NHS (it's £120). Basically the confocal looks at your eye in much more detail. I also had a lipview consultant, which is how I found out about my blink - everyone else has told me my blink is fine. But this machine films your blink and measures your lipid layer. I was low on my lipd layer, it turns out I don't fully close my lids. My worse eye had lower lipid layer. I suppose you could film yourself blinking and then slow it down a lot to check if your eyelids touch when they close.

I kept a dairy for a couple of weeks, and recorded pain/redness, as well as what I ate and when. I need to start again!

I am moving to South East Asia on Tuesday (eeek) and am hoping to get serum drops there, no idea if it's possible and haven't been able to check online. But will start investigating as soon as I am there. If I were staying in London it would have been easier, as my laser eye clinic would have helped me. I did consider not going, but if I'm gong to be dry and depressed, why not be dry and depressed someone exotic! I am really hoping it's the right decision. After choosing to get my eyes lasered I don't really trust myself anymore.

[dryeye4ever]

'' Green Tea is included to modulate osmolarity, one of the causative factors in dry eye, resulting in inflammation and subsequent cell damage. ''

Source: Biotears: http://www.biosyntrx.com/products/biotears.php

[DryLondoner]

'' Green Tea is included to modulate osmolarity, one of the causative factors in dry eye, resulting in inflammation and subsequent cell damage. ''

Thanks for the link and info. I couldn't find the full quote on that page, only the first part about osmalarity, is the rest form another site?

[tealeaf]

DryLondoner,
I don't close my eyes fully when sleep and I believe I don't close them fully when blink. This was never a problem prior to lasik.

How does the serum drops help in nerve regeneration?

When cleaning your eye lids, do you use sterilised Q tip or just the normal ones?

Have prayed for you - you will have a smooth transition, will have good friends and colleagues in your new place and have a good opth in KL!

[littlemermaid]

I don't close my eyes fully when sleep and I believe I don't close them fully when blink.

Re lagophthalmos, 3 out of 14 teenagers on LM's overnight coach were sleeping with their eyes partially open in one way or another. She said 'not all the time' and eg their cheeks were not pulled aside because they were sleeping sitting upright. Not a scientific study, but important to think about. When the face skin starts to sag and becomes less elastic (like me), then the Ophthalmologists are noticing more droopy eyelids and incomplete blink. Eyelid inflammation and eye surface swelling must cause a bit of lagophthalmos, surely, and an eye mask or tape has to help. Maybe the 'pillow eye' gets worse from being pulled partially open in the night.

If I were staying in London it would have been easier, as my laser eye clinic would have helped me.

Yes, one UK member posted they got autologous serum to manage eye recovery post-refractive surgery from the provider as part of a deal. Thank you so much for all the info, DryLondoner. I didn't realise confocal microscopy was so accessible. Hope you are healed from surgery soon as possible, using all the 'tricks of the trade'. I'm so sorry for your suffering but posting your experience really helps so many of us.

[tealeaf]

Re lagophthalmos, 3 out of 14 teenagers on LM's overnight coach were sleeping with their eyes partially open in one way or another. She said 'not all the time' and eg their cheeks were not pulled aside because they were sleeping sitting upright. Not a scientific study, but important to think about. When the face skin starts to sag and becomes less elastic (like me), then the Ophthalmologists are noticing more droopy eyelids and incomplete blink. Eyelid inflammation and eye surface swelling must cause a bit of lagophthalmos, surely, and an eye mask or tape has to help. Maybe the 'pillow eye' gets worse from being pulled partially open in the night.

Thanks for the information. I have lagophthalmos since teenage days, however, it has never bothered me till I had lasik Now, I sleep with mask on and eye gel.