Eye Drops: Managing Conjunctivitis and Eye Discomfort - Ophthalmology

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Eye Drops Issue: Conjunctivitis


Hello, Doctor.
I previously inquired about (#173509) and would like to ask you a few more questions:
1.
Can eye fatigue lead to frequent tearing (which feels better after tearing)? I also notice some sticky, colorless discharge in the morning upon waking, and my eyes are particularly red right after I get up.
I have been maintaining at least nine hours of sleep daily for a month.
2.
The doctor prescribed me Loteprednol and FML eye drops, and advised me to continue using the previously prescribed Sulfacetamide eye drops.
However, I found online that one is a sulfonamide anti-inflammatory agent and the other is a steroid anti-inflammatory agent.
Is it safe to use them together?
3.
Is it normal to feel stinging and dryness after using Loteprednol eye drops?
4.
If I accidentally used Betamethasone eye drops instead of FML eye drops, will there be any issues?
Thank you for your assistance, Doctor.

joi, 10~19 year old female. Ask Date: 2021/09/21

Dr. Gao Pilin reply Ophthalmology


Hello Joy: 1.
Fatigue, inflammation, and allergies can all cause red eyes.
Sometimes, upon waking, the eyes may appear redder, but this should improve after a while.
2.
It is possible to take them together, but it's best to space them at least 5 minutes apart.
3.
Everyone experiences sensations differently; this kind of stinging is not a concern.
4.
It's fine, but please avoid using Revitalon again.

Reply Date: 2021/09/21

More Info


When it comes to managing eye discomfort, particularly in cases of conjunctivitis and other related symptoms, understanding the role of eye drops and their interactions is crucial. Based on your questions, let's delve into the various aspects of your concerns.

1. Eye Fatigue and Tear Production: It’s not uncommon for individuals experiencing eye fatigue to notice increased tear production. This can be a reflex response to irritation or dryness. The sticky, colorless discharge you observe upon waking is often due to the accumulation of mucus during sleep, which can be exacerbated by dry eyes or conjunctivitis. The redness you experience in the morning can also be attributed to several factors, including irritation from allergens, dryness, or even the position of your head during sleep, which might restrict blood flow. Despite maintaining a good sleep schedule, environmental factors such as air conditioning, heating, or prolonged screen time can contribute to these symptoms.

2. Compatibility of Eye Drops: Regarding the eye drops you mentioned—Lusamine (likely an antihistamine) and Revitalon (a steroid)—it is essential to follow your doctor's instructions carefully. While sulfonamide antibiotics (like the one in Safin) and corticosteroids can be used together in some cases, they should only be combined under the guidance of a healthcare professional. The rationale behind this combination often lies in managing inflammation while treating an infection. However, using multiple medications simultaneously can increase the risk of side effects or complications, so it’s crucial to adhere to your doctor’s recommendations.

3. Sensation After Using Eye Drops: Experiencing a stinging or dry sensation after applying Lusamine is not uncommon, especially if the formulation contains preservatives or if your eyes are particularly sensitive. If the discomfort persists or worsens, it’s advisable to consult your eye care provider. They may suggest alternative formulations, such as preservative-free options, which can be gentler on the eyes.

4. Accidental Use of Eye Drops: If you mistakenly apply Betamethasone (a corticosteroid) instead of Revitalon, it’s generally not a cause for alarm, especially if it’s a one-time occurrence. However, corticosteroids should be used cautiously, as they can lead to increased intraocular pressure and other complications if used improperly or for extended periods. If you experience any unusual symptoms after the accidental application, such as increased redness, pain, or vision changes, you should contact your eye care provider for further advice.

In conclusion, managing eye discomfort effectively requires a comprehensive understanding of your symptoms, the medications prescribed, and their potential interactions. Regular follow-ups with your eye care professional are essential to monitor your condition and adjust treatment as necessary. Additionally, practicing good eye hygiene, taking breaks from screens, and using artificial tears can help alleviate symptoms of dryness and irritation. If symptoms persist or worsen, do not hesitate to seek further evaluation to ensure optimal eye health.

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