Medication Consultation: Conjunctivitis
A year ago, I had severe conjunctivitis, and the doctor said it was resolved.
Later, I developed white spots on my cornea, and the doctor prescribed Winston Hylo Gel 0.2% eye drops, which I used for about six months.
Although I didn't use them every day, I'm concerned that prolonged use might harm my eyes.
My eyes still feel uncomfortable and red.
Afterward, I consulted another doctor who prescribed CROMO EYE DROPS 2% and FLUORONE ophthalmic 0.1%.
The doctor mentioned that my upper eyelid is still red.
I would like to know if these two eye drops contain steroids.
Additionally, what kind of examinations should I undergo for my eyes? I'm really worried about potential damage to my eyes, especially since I have myopia of -7.00 diopters and astigmatism of -1.75 diopters.
Dai Dai, 20~29 year old female. Ask Date: 2020/02/22
Dr. Gao Pilin reply Ophthalmology
Hello, Dadai:
CROMO EYE DROPS 2%: Antiallergic.
FLUORONE ophthalmic 0.1%: Anti-inflammatory, containing steroids, is necessary for conjunctivitis that requires steroid treatment.
Short-term use typically has minimal side effects.
Use as directed by your physician and adjust according to clinical conditions; there is no need for concern.
Taiwan E-Hospital Puzi Hospital Ophthalmology: Monday, Tuesday, Thursday, Friday from 8:00 AM to 12:00 PM; Wednesday from 2:00 PM to 4:30 PM.
Online responses are for reference only; if necessary, you should seek care at a medical facility.
I hope to have the opportunity to serve you.
Gao Pilin
Reply Date: 2020/02/22
More Info
Understanding eye drops for conjunctivitis and their safety is crucial, especially for individuals with a history of eye issues. It appears that you have been dealing with a complex situation involving conjunctivitis and potential corneal complications. Let’s break down your concerns and provide some clarity on the medications you are using, their implications, and what steps you can take to ensure your eye health.
Firstly, regarding the eye drops you mentioned, Winston Good Vision Suspension 0.2%, it’s important to note that prolonged use of any medication, especially corticosteroids, can lead to potential side effects such as increased intraocular pressure, cataract formation, or even worsening of infections. However, the specific formulation of Winston Good Vision would need to be checked for corticosteroid content, as not all eye drops contain steroids. If you have been using this for about six months intermittently, it’s advisable to consult your ophthalmologist to evaluate the necessity of continuing this medication and to discuss any potential risks associated with long-term use.
Now, concerning the Cromo Eye Drops 2% and Fluorone ophthalmic 0.1%, it’s essential to clarify their active ingredients. Cromo Eye Drops typically contain cromolyn sodium, which is a mast cell stabilizer used primarily for allergic conjunctivitis and does not contain steroids. On the other hand, Fluorone (which likely contains fluorometholone) is a mild corticosteroid. Corticosteroids can be effective in reducing inflammation but should be used cautiously, especially in individuals with a history of eye infections or those who are prone to developing cataracts or glaucoma.
Given your ongoing symptoms of discomfort and redness, it’s crucial to have a thorough eye examination. Your ophthalmologist may recommend several tests, including:
1. Slit Lamp Examination: This allows the doctor to closely examine the structures of your eye, including the cornea, conjunctiva, and eyelids.
2. Intraocular Pressure Measurement: To check for any signs of glaucoma, especially if you have been using corticosteroids.
3. Corneal Staining: Using special dyes to identify any damage or irregularities on the corneal surface.
4. Tear Film Assessment: To evaluate the quality and quantity of your tears, which can be a factor in your discomfort.
In terms of managing your symptoms, consider the following recommendations:
- Artificial Tears: These can help alleviate dryness and discomfort. Look for preservative-free options if you are using them frequently.
- Warm Compresses: Applying a warm compress can help soothe irritation and promote drainage if there is any blockage in the tear ducts.
- Avoiding Allergens: If your symptoms are allergy-related, try to identify and minimize exposure to allergens.
- Regular Follow-ups: Given your history and ongoing symptoms, regular check-ups with your ophthalmologist are essential to monitor your condition and adjust treatment as necessary.
Lastly, your concern about potential damage to your eyes is valid, especially with high myopia (700 degrees) and astigmatism (175). High myopia can predispose individuals to various complications, including retinal detachment and glaucoma. Therefore, maintaining regular eye exams is crucial for early detection and management of any potential issues.
In summary, while some of the medications you are using may be beneficial, their long-term use should be carefully monitored by your eye care professional. Open communication with your ophthalmologist about your symptoms, treatment efficacy, and any concerns you have will help ensure that you receive the best care for your eye health.
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