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  • allergens update

    Hi Folks,

    I've posted previously about the possibility that my eye condition (diagnozed as MGD and blepharitus), asthma and "hay fever" symptoms may, at least in part, be a set of allergic responses to some sort of trigger(s). An opthamalogical specialist made a very general comment about this prospect during a visit. Work-related travel in recent months has made clear that environmental factors somehow seem to dramatically affect the condition of my eyes, lungs, congestion levels, etc. Respondents on this board - thanks! - have helped me think through issues related to "the comment," travel and potential next steps.

    After visiting with my physician and regular opthamolagist (I trust both of them) about the idea, I went to an allergist this week and had the standard skin tests run for 26 potential allergens. The results are interesting. I've believed for, uh, decades that pollen and other outdoor crap were the major contributors to my asthma and hay fever. But the data indicate that my big issues are indoors. Here's a test result summary across 4 tiers of allergic response for the 26 items:

    1. The overwhelmingly top triggers are dust mites and cats. (Not dust cats; you know what I mean.) The allergist said my reaction to these allergens was unusually strong and that these are likely my major sources of allergic congestion, breathing difficulties, itchy and inflamed eyes, sinus headaches......

    2. Cockroaches, which I think of as more present in urban settings than my little rural corner of the upper Midwest, make up the second tier.

    3. Dogs and pollen from maple trees.

    4. Everything else, including ragweed, all sorts of grasses, different pollens and, tested separately, goats and cows. These items had zero to minimal responses, altho the allergist said such non-triggers can sometimes function in conjunction with more serious triggers to produce a marvelous potpourri of allergic responses.

    At the allergist's recommendation, I've made some adjustments to my asthma and allergy meds. He's also recommending an annual regimen of allergy shots. There's a whole batch of things I can do on the home front, e.g., our indoor cats, as of Monday, are now outside cats. My plan at this point is to get input from my primary physician and my opthamologist again to see how/if the whole program makes sense. For instance, I can imagine a scenario in which meds help me effectively address the "triggers" while my eyes get drier on a daily basis.

    Best,

    - William

  • #2
    Thanks for the info William. Dr Latkany told me a while back when I visited him that it would be worth it to visit an allergist. I called one that a friend had recommended and spoke to him directly. He said if all I am presenting with is dry eyes...there probably isn't much he can do for me. I was annoyed at that and just kind of forgot about the idea after that. Maybe I'll look into it again.

    On a side note...would you mind listing the cities that you visited and how they affected your eyes, Im just curious.

    thanks

    Daren

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    • #3
      Hi all,

      I just visited an allergist today, as my ophthalmologist noted on my last exam that I had "chemosis": conjunctival edema. He had asked if I had allergies. I hadn't thought so, but I tested positive to a wide variety of grasses, weeds, molds, dust mites, etc. Now I'm wondering how many of my eye symptoms could be allergic. I only rarely have itching, but sometimes I feel swollen and the edges of my eyelids hurt. I am treating my MGD already with Doxy and compresses.

      So, the allergist gave me a sample of Pataday ophthalmic drops to try. He says they are not supposed to cause drying. I'm a little nervous, but will probably try it. If anyone has any experience with this drug or this topic, I'd be interested.

      William, ar you considering immunotherapy? That seems like a nice wasy to treat the allergies without having to take antihistamines, etc.

      Good luck,

      Kathel

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      • #4
        immunotherapy, cities

        I'm excited at the prospect of addressing at least some causes and maybe, just maybe, reducing some of my symptoms. We're all wary of silver bullets. But it's nice to have just a bit of hope. Now and then.

        Kathel - Am definitely considering a regimen of allergy shots, i.e., immunotherapy, but want to kick around with the doctors some more before jumping in. I'm a sort of chemical cocktail already so am cautious. Studies suggest that 3 in 4 hay feveristas see significant improvement with immunotherapy. Less antihistamines, but how might shots affect this dry eye thing? What sort of trade-offs am I creating? And so on.

        Daren - About the cities. As noted at start of thread, prior to these test results I've been assuming my whole life that pollen and other outdoor triggers were the big drivers for my asthma and allergies. Because of this, when traveling, I ascribed improvements in breathing, itchy eyes, etc. to lower levels of pollen. Now, knowing that the pollen assumption could well be wrong, I have to rethink what's been happening when I travel. Now I believe that although some slight pollen relief may've occurred as I've traveled mostly in desert areas - Phoenix, Southern Nevada, Inland Empire of CA - the real reason >>I think<< for improvements may well be that I'm not spending as much time at home in a dusty old farm house with 2 cats! The DES upshot is that my eyes are generally better than normal when I travel out west which, thinking about dust, airports, AC in hotel rooms, etc. is kind of amazing. But there it is.

        I'll never be totally sure about this without better data. For example, the 26 allergens in the test provide one set of answers, but what if I were very allergic - even more than to cats or dust - to the 27th item? Or to some pollen that's common in the Midwest but never found in AZ, NV or SoCal that wasn't in the test?

        But it's a start. Something to work with. I'm very interested in any similar work that others on list pursue.

        Best,

        - William

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