Can you please help me work through this

[Guest]

Hey guys and gals, still having some issues and questions maybe you can help me with. First, I’m using nexcare sensitive skin tape, it’s still irritating my lids. I also think that the ointment being trapped under the tape isn’t helping. So I am going to ditch the ointment officially for a couple nights and use only gel and see if that helps me any. Maybe I can eliminate another allergen. If anyone has suggestions on a different brand of take id appreciate it. I just bought some different tape from the dry eye shop, I’ll update on that when I get it.

The second thing is, why is my right eye worse than my left. My left eye was always my worst eye. There were two things different with the left than the right. The left had a debridement and I ran mocifloxacin for 10 days in the left eye after a corneal erosion. The left eye had 3 erosions and after the antibiotic, the eye started turning around and for some reason....the right started to get worse. The glands in the center of my lower lid feel scratchy and burn. The eye doesn’t close as well as the left, not even close. I have pressure and muscular pain around the right eye. I wish I could make sense of it...because if my right was as good as my left, id consider myself prettty much a success. I just don’t know what to do with this right eye. Mind you, the left eye started turning around before the clinical signs did. Meaning, it got better before I started taping the eyes and takin the steroids. Now, after that treatment, the left eye feels really normal a lot of the time. I would love to find a way to get my right eye like that.

Still struggling though...I cannot sleep. I have to quit the opiates so today I took half my dose and god I’m sick. I just want to get my eyes (eye) a hair better and illfeel stable. I’m so close..

[Meibum Ian]

I also tape eyes at night and feel much better when doing so.

I am having success with using Thealoz Duo gel, and wiping excess from my eyelids, then taping with 3M Microfoam tape. I start in the nasal corner, beginning 1-2cm in from the corner of my eye (just down from the bridge of my nose. I then work the tape towards the outside of my eye, finishing about 2cm past the eye socket.

Before taping I close my eyes lightly, then pulse / squeeze them for a couple of minutes. I try to limit muscle activation to those closest to the lids, keeping eyebrows still. This normally gets some oils secreted, and helps with the seal.

The tape stays in place, does not irritate, and is easy enough to remove in the morning (though sometimes needs wetting to do so).

Re. differences in eye condition. Do you sleep on your side, and if so which one?

[Guest]

I also tape eyes at night and feel much better when doing so.

I am having success with using Thealoz Duo gel, and wiping excess from my eyelids, then taping with 3M Microfoam tape. I start in the nasal corner, beginning 1-2cm in from the corner of my eye (just down from the bridge of my nose. I then work the tape towards the outside of my eye, finishing about 2cm past the eye socket.

Before taping I close my eyes lightly, then pulse / squeeze them for a couple of minutes. I try to limit muscle activation to those closest to the lids, keeping eyebrows still. This normally gets some oils secreted, and helps with the seal.

The tape stays in place, does not irritate, and is easy enough to remove in the morning (though sometimes needs wetting to do so).

Re. differences in eye condition. Do you sleep on your side, and if so which one?

Thanks for the suggestions...

I used to side sleep, but cannot anymore. I was always on my left side, which is why I thought the left eye was so much worse. Now I wondering if that’s the case. I wear bubble bandages, shields and/or a mask every night. Taping the eyes helped them exponentially, I’m jist not sure why the difference. My only thoughts are this...

the debridemebt in the left eye helped me a lot but I didn’t realize it because it took so long to stabilize the inflammation.

or

the antibiotics cleared an infection that was not cleared from the right eye. I’m not sure if you can have an infection that’s subclinical.

Thats all i can speculate at the moment.

[Guest]

Meibum Ian I’m buying the gel now and looking into the tape. The gel looks like a really good product, I hope it works, thank you!

EDIT: bought both, really appreciate the suggestions. I have been using oasis tears plus lately...it’s the only gel I can handle. Looks like this gel is similar, less inactive ingredients though.

[Meibum Ian]

Good luck. Update with how you get on

[Meibum Ian]

I also wipe the gel over eyelids to help with the seal., but remove the excess to help the tape stick.

[edmunder]

Debridement isnt hard to find in Chicago, right?

Blephex or a little paddle. I actually sent a local doctor a youtube video and he debrided me and then did a manual expression.

i would prefer a blephex just to try.

[Guest]

edmunder
Meibum Ian

to be clear, it was a corneal debridement in the left eye. I’m not doing that to the right one just yet, lol, my fault.

I will definitely update...I found my moxifloxacin, I may just run it for 10 days it has zero preservatives.

EDIT: let me say, the reason I may even consider debriding the right cornea is the basement membrane issues I have. I’m speculating, but maybe the left one actually benefitted from the debridement, I just couldn’t tell because I was sleeping eyes open. Now that my inflammation is under control and the tear film is better, it feels great.

Could also be a bacterial overload. Which would make sense seeing as I have moderate MGD. The antibiotic is just safer and easier to test of course. Let’s see..

[hopeful_hiker]

If your glands are scratchy, eyelid margin debridement may help like edmunder have suggested. It helped me once with the same issue. Takes a minute or less.

I don’t know about taping but my gel of choice is Hylo gel because it has a short ingredient list. Main ingredient is hyalaronic (spelling?) acid. This gel is runny and fairly liquid. It can crust the eyes a bit, too.

However, I could not tolerate other gels because their consistency annoyed me. I like ointments more but would wake up with red eyes watery eyes because of them. My eyes do not like petroleum products apparently.

[Guest]

If your glands are scratchy, eyelid margin debridement may help like edmunder have suggested. It helped me once with the same issue. Takes a minute or less.

I don’t know about taping but my gel of choice is Hylo gel because it has a short ingredient list. Main ingredient is hyalaronic (spelling?) acid. This gel is runny and fairly liquid. It can crust the eyes a bit, too.

However, I could not tolerate other gels because their consistency annoyed me. I like ointments more but would wake up with red eyes watery eyes because of them. My eyes do not like petroleum products apparently.

I’ll ask about it...im pretty sure I’ll have to go to another doctor because mine doesn’t do lid debridement.

edmunder

Thank you both for the suggestion.

[Guest]

UPDATE

Last night I slept very well...I taped my eyes and used gel, not ointment. My eyes are most likely itchy because of the ointment not the tape. I still need a softer tape, so the new stuff I bought should help a lot. But I wasn’t nearly as itchy as when I use ointment, so it’s clear, ointments are out of the question.

My right eye still burns. I’m going to wait a few more days and tape it nicely, so I can see if the burning is from exposure or not. If I keep taping it well, with no incidents of failure (tape coming off or falling asleep without tape on)....and the burning continues, I’m going to try the moxifloxacin and see if it’s a bacterial issue. Again, I have nothing to lose and everything to gain.

The left eye feels so good....again, it’s not perfect, but if I could get this right one on board...I would really feel good! I might even be able to smile again like I did before this happened. Would be nice.