my eye doc, competent, nevertheless 2nd opinion ?

[THAIPHUKET]

My glasses are minus 4.5 about, uneven R/L. And I had a check up rather recently, no correction of the lenses suggested.

One thing is irritating. I got almost perfect sight near and far, outside, inside the house. Only when I look at my lap top , after a while objects are not fully in focus. Even worth, using my desk top, the screen further away and also TV, in particular CNN is very much out of focus, no political pun intended. Eye doc said,after checking = Not enough tear liquid, eye drops seemed to help. But I wonder if drops are a permanent solution.

[lopburi3]

Dry eyes are a real issue for me also and find Vislube to be very helpful, but this may not be best choice for your eyes (I also am prescribed Genteal) and it does seem to be permanent as have been using for last decade. That said my best investment for computer viewing was change from bifocals to progressive lens.

[cheeryble]

The following may be overkill for you, but be a bit careful.

I asked a well known eye doctor in CM if I could have punctal plugs for dry eye.

He inspected and said fine yes.

As they sounded overpriced I held off and went elsewhere (Changpuak Rd clinic). She gave me a thorough inspection.....pulled what looked like a lump of carpet tuft from under my eyeball a half hour after leaving the first place!....and told me that punctal plugs were unlikely to work.

She said it was lack of secretion of oil from the Meibonian glands. The oil, amazingly, sits on top of the tears and slows evaporation and of course is lubricant.

ps: Regular eyedrops with preservative are only for use up to about 6 times a day.

After this you should be using the disposable tears.

Unfortunately it is a big pharma ripoff and the prices are appalling for something which could be pennies.

Edited September 7, 2013 by cheeryble

[ricklev]

The following may be overkill for you, but be a bit careful.

I asked a well known eye doctor in CM if I could have punctal plugs for dry eye.

He inspected and said fine yes.

As they sounded overpriced I held off and went elsewhere (Changpuak Rd clinic). She gave me a thorough inspection.....pulled what looked like a lump of carpet tuft from under my eyeball a half hour after leaving the first place!....and told me that punctal plugs were unlikely to work.

She said it was lack of secretion of oil from the Meibonian glands. The oil, amazingly, sits on top of the tears and slows evaporation and of course is lubricant.

ps: Regular eyedrops with preservative are only for use up to about 6 times a day.

After this you should be using the disposable tears.

Unfortunately it is a big pharma ripoff and the prices are appalling for something which could be pennies.

http://www.ocusoft.com/WEEKLY-DEALS-OCUSOFT-LID-SCRUB-ORIGINAL-FOAMING-EYELID-CLEANSER-50-ML-P4360.aspx

The product above is now available at hospitals pharmacies in Thailand.... well its at BNH and Bumrangrad for sure. It is designed for people with melbonian gland disorder leading to dry eyes. The combination of regular cleaning and warm compresses has really made a difference for me.

[THAIPHUKET]

this is really very informative, thanks to both of you. I will have a second opinion from Changpuak Rd clinic.

Although in all fairness, my test was done at the Ram Hospital by a very charming young lady( my eyes are good enough for that) and she simply said: take visilube. no pushing for anything. I asked in astonishment= that´s it? She = Yes

[cheeryble]

http://www.ocusoft.com/WEEKLY-DEALS-OCUSOFT-LID-SCRUB-ORIGINAL-FOAMING-EYELID-CLEANSER-50-ML-P4360.aspx

The product above is now available at hospitals pharmacies in Thailand.... well its at BNH and Bumrangrad for sure. It is designed for people with melbonian gland disorder leading to dry eyes. The combination of regular cleaning and warm compresses has really made a difference for me.

Is that a fact?

....well I'm glad I posted here.

It was recommended me by one doc then on a visit to the Overbrook she had said it doesn't really work.

Encouraging to hear your words.

May I ask:

How many minutes each day?.....in fact what's your regimen?

Do you get a problem with glare and has your self treatment improved that?

I drive most nights and I have a real headlight problem exacerbated by Thai drivers using every light possible on their car, preferably in halogen.

[cheeryble]

this is really very informative, thanks to both of you. I will have a second opinion from Changpuak Rd clinic.

Although in all fairness, my test was done at the Ram Hospital by a very charming young lady( my eyes are good enough for that) and she simply said: take visilube. no pushing for anything. I asked in astonishment= that´s it? She = Yes

I think if the Ram lady doc....who is recommended and I know a little....said that, you may follow her advice.

IF you still have a problem, tell her.

I have an aged friend for whom I go on his consultations and act as, well, a sort of loudspeaker as he's also fairly deaf. She's kept his vision going a long time in the face of macular degeneration.

Edited September 8, 2013 by cheeryble

[ricklev]

http://www.ocusoft.com/WEEKLY-DEALS-OCUSOFT-LID-SCRUB-ORIGINAL-FOAMING-EYELID-CLEANSER-50-ML-P4360.aspx

The product above is now available at hospitals pharmacies in Thailand.... well its at BNH and Bumrangrad for sure. It is designed for people with melbonian gland disorder leading to dry eyes. The combination of regular cleaning and warm compresses has really made a difference for me.

Is that a fact?

....well I'm glad I posted here.

It was recommended me by one doc then on a visit to the Overbrook she had said it doesn't really work.

Encouraging to hear your words.

May I ask:

How many minutes each day?.....in fact what's your regimen?

Do you get a problem with glare and has your self treatment improved that?

I drive most nights and I have a real headlight problem exacerbated by Thai drivers using every light possible on their car, preferably in halogen.

I suffer from post Lasik dry eye syndrome. It was pretty severe for the first two years. Punctal plugs didn't help and one got infected and had to be surgically removed.

The surgeon identified the melbonian gland problem.

Now I wash the eyelid margins twice a day when I shower followed by three minutes using an eye compress called Thermalon http://www.walmart.com/ip/Thermalon-Dry-Eye-Compress-1ct/16608834 to encourage oil flow. (But you can just use a rice bag etc. See info below)

This works so well for me that I now go days without noticing a problem. Then I slack off the regime and my dry eyes get bad again.

Here is a really good resource: http://www.dryeyezone.com/

Edited September 8, 2013 by ricklev

[cheeryble]

I suffer from post Lasik dry eye syndrome. It was pretty severe for the first two years. Punctal plugs didn't help and one got infected and had to be surgically removed.

The surgeon identified the melbonian gland problem.

Now I wash the eyelid margins twice a day when I shower followed by three minutes using an eye compress called Thermalon http://www.walmart.com/ip/Thermalon-Dry-Eye-Compress-1ct/16608834 to encourage oil flow. (But you can just use a rice bag etc. See info below)

This works so well for me that I now go days without noticing a problem. Then I slack off the regime and my dry eyes get bad again.

Here is a really good resource: http://www.dryeyezone.com/

Snap......I'm also post Lasik and the tear layer measured very low.

It's improved lately and I don't usually need drops in the day, but any time I sleep they are completely dry on waking, and if anyone smoking the eyes will go dry as a bone.

Were you similar to this yet saw yr improvement?

[Phronesis]

I always had perfect 20 20 vision. I excelled at small bore target shooting, archery and snooker. When I turned 40 my eyesight deteriorated overnight. So swiftly in fact that I thought that I may have macular degeneration or another eye disease. I went to best optometrist in my town, a gruff old bugger in his sixties. He ran extensive tests and then sat me down at his desk to deliver the prognosis.

"What's wrong with me?" I asked, bracing myself for the news of some chronic eye disease....

"You're f_cking old" he replied.

Edited September 8, 2013 by Phronesis

[ricklev]

I suffer from post Lasik dry eye syndrome. It was pretty severe for the first two years. Punctal plugs didn't help and one got infected and had to be surgically removed.

The surgeon identified the melbonian gland problem.

Now I wash the eyelid margins twice a day when I shower followed by three minutes using an eye compress called Thermalon http://www.walmart.com/ip/Thermalon-Dry-Eye-Compress-1ct/16608834 to encourage oil flow. (But you can just use a rice bag etc. See info below)

This works so well for me that I now go days without noticing a problem. Then I slack off the regime and my dry eyes get bad again.

Here is a really good resource: http://www.dryeyezone.com/

Snap......I'm also post Lasik and the tear layer measured very low.

It's improved lately and I don't usually need drops in the day, but any time I sleep they are completely dry on waking, and if anyone smoking the eyes will go dry as a bone.

Were you similar to this yet saw yr improvement?

The first three years after Lasic were bad and really affected my life. However there has been slow gradual improvement and after 10 years the problem is not too bad as I explained above. I still wake up at night and have to use drops sometimes.