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How do you know if BAK has caused permanent damage to your eyes

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  • How do you know if BAK has caused permanent damage to your eyes

    I was using a redness reliever for like 6 years (2012-2018) I stopped in April due to it not working anymore. I am not currently using redness reliever anymore. I have been to the doctors about dry eye, had all the tests (slit lamp, eye pressure etc...). If my eyes were damaged by the BAK, would it have shown in these tests?

  • #2
    Wow, 6 years that’s a long time, why were they red?

    Comment


    • #3
      Very sorry to hear that! I'm so glad you're not using those drops now.

      I doubt there's any way to easily prove the connection... I know people who have, but with some top ranking specialists to be honest. (There's a ton of literature showing how toxic BAK is for long term use, but... that's different than figuring out cause and effect in an individual.) Also, the redness relievers themselves can cause issues even without the preservative part. sounds like a good time to focus on what's wrong now and how to right it as much as possible?
      Rebecca Petris
      The Dry Eye Foundation
      dryeyefoundation.org
      800-484-0244

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      • #4
        Originally posted by Rebecca Petris View Post
        Very sorry to hear that! I'm so glad you're not using those drops now.

        I doubt there's any way to easily prove the connection... I know people who have, but with some top ranking specialists to be honest. (There's a ton of literature showing how toxic BAK is for long term use, but... that's different than figuring out cause and effect in an individual.) Also, the redness relievers themselves can cause issues even without the preservative part. sounds like a good time to focus on what's wrong now and how to right it as much as possible?
        Hi Rebecca,

        I meant, if there was anything wrong with my eye (i.e any damage by the BAK/redness Reliever) the tests I had with the slit lamp with yellow dye etc...would it show in these? I am not asking if the doctors could determine whether or not it was the BAK that caused any issues, but IF there was an issue (im not sure what the side effects of having BAK for 6 years would be) would they be able to see it?

        Sorry for the confusion

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        • #5
          Originally posted by jack1988 View Post

          Hi Rebecca,

          I meant, if there was anything wrong with my eye (i.e any damage by the BAK/redness Reliever) the tests I had with the slit lamp with yellow dye etc...would it show in these? I am not asking if the doctors could determine whether or not it was the BAK that caused any issues, but IF there was an issue (im not sure what the side effects of having BAK for 6 years would be) would they be able to see it?

          Sorry for the confusion
          If it’s nerve damage, they would need another test to determine that beyond your slip lamp evaluation. I have pain/sensation that is not visible with any dye or examination. So that’s possible, yes.

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          • #6
            Originally posted by Dowork123 View Post

            If it’s nerve damage, they would need another test to determine that beyond your slip lamp evaluation. I have pain/sensation that is not visible with any dye or examination. So that’s possible, yes.
            What sort of test is it? like do you know what it is called, or maybe can you tell me the process?

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            • #7
              Originally posted by Dowork123 View Post

              If it’s nerve damage, they would need another test to determine that beyond your slip lamp evaluation. I have pain/sensation that is not visible with any dye or examination. So that’s possible, yes.
              Thanks

              What type of test is it? If you can't remember the name can you tell me what the process involves?

              Thanks

              Comment


              • #8
                Confocal microscopy can show nerve damage. You could still have nerve pain and no signs, but that’s usually more rare and referred to as centralized pain. Meaning is starts in the brain, kind of like phantom pain.

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                • #9
                  Originally posted by Dowork123 View Post
                  Confocal microscopy can show nerve damage. You could still have nerve pain and no signs, but that’s usually more rare and referred to as centralized pain. Meaning is starts in the brain, kind of like phantom pain.
                  Thanks for all your help, buddy!

                  I'm not sure if the NHS perform this, but I can ask

                  Comment


                  • #10
                    Originally posted by jack1988 View Post

                    Thanks for all your help, buddy!

                    I'm not sure if the NHS perform this, but I can ask
                    Good luck Jack, I hear the NHS can be a pain sometimes. Sorry you’re in pain, hope you find a solution.

                    Comment


                    • #11
                      Originally posted by Dowork123 View Post

                      Good luck Jack, I hear the NHS can be a pain sometimes. Sorry you’re in pain, hope you find a solution.
                      It's more discomfort. Like, when i first wake up, and for a few hours after, my eye feels sensitive, like a menthol feeling.

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                      • #12
                        Originally posted by jack1988 View Post

                        It's more discomfort. Like, when i first wake up, and for a few hours after, my eye feels sensitive, like a menthol feeling.
                        I know for me personally, I sleep with my eyes open and that was my issue. Waking up with burning gritty eyes. One I protected my eyes at night, things got better. Try ointment, gel, goggles, tape. Whatever keeps those eyes moist at night and see if that helps. It’s an easy way to rule out the problem. Do you sleep on your stomach/side? Do you snore?

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                        • #13
                          Originally posted by Dowork123 View Post

                          I know for me personally, I sleep with my eyes open and that was my issue. Waking up with burning gritty eyes. One I protected my eyes at night, things got better. Try ointment, gel, goggles, tape. Whatever keeps those eyes moist at night and see if that helps. It’s an easy way to rule out the problem. Do you sleep on your stomach/side? Do you snore?
                          I sleep on my side. I put in hycosan at night before bed it kind of annoys my eyes tho, but still better than it feeling gritty/sore

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                          • #14
                            Originally posted by jack1988 View Post

                            I sleep on my side. I put in hycosan at night before bed it kind of annoys my eyes tho, but still better than it feeling gritty/sore
                            Try sleeping on your back for a week see if that helps...if you can do it, I know it’s hard. Sometimes when you rub your face into the pillow, it open the eye while you sleep.

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