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Lots of questions, visit Dr. Latkany...

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  • Lots of questions, visit Dr. Latkany...

    Dear all,

    This is a weird thread, but I really need your help!!!
    I'm so exited, I have an appointment with Dr. Latkany next
    week (22nd). Finally...I'll go to NY for a week and I'll see him on my first day. So, I really expect much from the visit even though I know that he might not be able to help me. I'm a bit afraid that my English is not good enough (for talking, explaining and understanding spoken medical English). Has anybody ever visited Dr. Latkany who is not a English/American? Is he hard to understand?

    How is he? I mean, how much time does it take, does he explain things? Does he suggest a treatment or do I have to do that (it is always like that here)....

    I have a question for you guys. How do you pronounce Sjögren? Is the "g" like in target or like in gorgeous. :-) I couldn't think of other words! hehe

    Okay, so I thought about sending Dr. Latkany some information about me and my eyes before. Do you think this is a good idea?
    I tried to summarize my condition. Please have a look at it:

    Some facts:

    - dry eye since ~ 2002 (age: 16), has become worse very slowly, really bad since August 2005 (hasn’t changed since then)
    - soft contacts lens (H2O extreme) wear from 1999-2004 (stopped because I couldn’t tolerate them anymore)
    - the blood vessels in the right eye were there before the dry eye started (noticed them first in 1999) but they were hardly visible and did not hurt
    - drops I use: Thera Tears liquid gel, Dwelle (I have tried lots of others)
    - Myopia: -4.00
    - Infection of the eye’s nerve (right) in Jan. 2007 (is okay again)
    - Intraoccular pressure is okay
    - I often have eye infections with chlamydia (it is treated by antibiotics and usually comes back within 6 months)

    Current situation:

    - extreme redness left eye > right eye (major problem)
    - feeling of pressure/pain/inflammation in the left eye (-->blood vessels)
    - dryness (esp. in the morning & evening: I could use drops every 5-10mins, but I try to reduce the amount of drops to 1x/hour)
    - no full lid closure at night (lagophthalmos), I wear a sleeping mask (but it doesn’t seem to help that much), I tried tranquileyes + I taped my eyes but it didn’t help --> eyes look and feel horrible after awaking
    --> I don't know how I am ever supposed to work in a normal office (I'll finish my studies at university this year)

    Former therapies:

    - Restasis (Nov. 2006- July 2007); 2% Cyclosporine drops (July 2007-Jan. 2008) (I stopped and my eyes didn’t change --> I assume it didn’t help at all)
    - Lower punctum plugs (maybe upper one will help?)
    - Homeopathy + acupuncture (didn’t help at all)
    - Soft contact lenses (Air Optix Night & Day) --> dry spots after 1h of wearing (March 2008)
    - Hard contact lenses  eyes became very red (even after weeks) (April 2008)
    - I took omega 3 and 6 fatty acids for several years but I didn’t see an improvement


    Other information:

    - I eat a healthy diet (lots of fruits, vegetables and wholemeal products, I try to avoid sugar)
    - I do regular exercises (3 times a week)
    - I do lid massage 2x/day, but I cannot tolerate hot compresses
    - Sjögren Snydrome tests were negative
    - I took the birth control pill from 2002-2008, I have stopped taking it in March 2008, no improvement so far


    So, I really need to find something that helps me. My eyes have already ruined my social life to a certain extent (I cannot to to clubs with friends, I can't go biking etc.) and if nothing changes they will ruin my career as well.

    Pictures of my eyes: http://s262.photobucket.com/albums/i...t=DSCF2423.jpg
    http://s262.photobucket.com/albums/i...t=DSCF2338.jpg
    http://s262.photobucket.com/albums/i...t=DSCF2337.jpg
    http://s262.photobucket.com/albums/i...t=DSCF2336.jpg


    I appreciate any comment, recommendation...

    Thank you!!!

  • #2
    Originally posted by stephgurl1986 View Post
    I have a question for you guys. How do you pronounce Sjögren? Is the "g" like in target or like in gorgeous. :-) I couldn't think of other words! hehe
    SHOW-grins
    (g like target)

    Okay, so I thought about sending Dr. Latkany some information about me and my eyes before. Do you think this is a good idea?
    Absolutely. I think everybody should do this before visiting a new doctor. A one-pager with bullet points is great and what you've put in your post looks very useful.
    Rebecca Petris
    The Dry Eye Foundation
    dryeyefoundation.org
    800-484-0244

    Comment


    • #3
      Dr. L

      Hello,

      Sounds like you have a very comprehensive list for Dr. L. He is my MD as well and he is a good doctor and person. He cares a great deal for his patients. He returns calls and emails which many MD's don't do.

      As for your questions, it is pronounced Show-grins (Sjogrens)

      He defintely recommends tx but lets you be an active participant in suggesting ideas. Afterall we know our symptoms and past tx's better then anybody else.

      If you have any other ?'s let me know via PM.
      If life is a bowl of cherries, then why I am I stuck in the pits!

      Comment


      • #4
        Can you please help me find possible therapies which I haven't tried yet?
        I thought of these: doxy-/minocyclin tablets, serum drops (both possible in Germany), but what about androgen and doxy drops, azasite, upper plugs...
        What is missing in my list except from sclerals (which I will try in June in Berlin)???

        Comment


        • #5
          well, if it's any consolation -- you're very pretty, you can't even tell that your eyes are a bother to you!

          Comment


          • #6
            Good luck next week when you see Dr. Latkany. Please let us know how your appointment goes. I really liked him and felt that he was very helpful. He even answered some questions via email even though I only saw him once. It will definitely be worth the trip to see him.

            -Julie

            Comment


            • #7
              Good luck with Dr. L! I think it is an excellent idea to make an "eye resume" prior to a visit with a new doctor. I have recently done the same and I am curious to see what the results will be when I visit with a new doctor.

              Please let us know how your visit goes. I suspect you will be delighted with Dr. L. I have only read good things about him. I am contemplating making a visit with him myself, so if you can provide details of your visit I would appreciate it.

              Good luck and I hope that you are feeling well very soon.

              Safe travels!!

              MDE

              Comment


              • #8
                Latanky

                Sounds like your on top of your game. As you said there are plenty of stuff out there to still try. He may also recommend FML. It is a steroid based ointment for the eyelids. When I used it people remarked how less puffy my eyes looked. Also if u have allergies he recommends a preservative free allergy drop. So there is a lot out there still to try. Best of luck.
                If life is a bowl of cherries, then why I am I stuck in the pits!

                Comment


                • #9
                  I would also make a list of all the questions you have for Dr. Latkany and bring that list with you to your appointment. It's easy to forget things, and you'll be glad that you had the list to reference.

                  Comment


                  • #10
                    I have seen Dr. Latkany. He is very warm and reassuring. That was the most important thing to me. He also was the only doctor that explained what was contributing to how I felt. That made it easier for me to know what my treatment options. Before I met him, I was going down the wrong path. Understanding what I have helps me deal better, and I am not as scared of the condition as I used to be. I still see him. It is important to realize that treating this eye condition will take time, and may require more than one visit to eliminate factors and pinpoint the best therapy.

                    Comment


                    • #11
                      Good Doctor

                      I saw Dr. Latkany last year, and he was kind and helpful (it turns out I have ocular rosacea). I would email him your condition and questions before you get there, since you're coming from so far away. Best of luck and keep us posted on your progress.

                      Comment

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