Managing Eye Discomfort: Insights on Eye Drops and Dry Eye Relief - Ophthalmology

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Eye drops and eye discomfort


Hello Doctor, last week I experienced bleeding in the outer lower sclera of both eyes and went to see an ophthalmologist (the bleeding looked alarming but there was no significant discomfort).
The doctor believed it was due to fatigue and dry eyes causing inflammation, and prescribed FML (fluorometholone) eye drops and Systane Hydration artificial tears.
However, after using the FML drops, my eyes felt uncomfortable, and the sensation of foreign body and soreness became more pronounced.
Initially, I thought it was a normal reaction to the drops, but after using them again the next day with the same discomfort, I was hesitant to continue (I used them a total of three times, with 12-hour intervals).

I have a few questions:
1.
Could these eye drops have harmed my eyes? Will this type of damage self-repair?
2.
If inflammation prevents the use of FML, are there other treatment options available?
3.
I feel that my dry eye symptoms have worsened; what self-care measures can I take before my follow-up appointment?
Thank you for your response, Doctor.

Feifei, 40~49 year old female. Ask Date: 2022/02/06

Dr. Gao Pilin reply Ophthalmology


Hello Feifei: 1.
It should not be the case; eye drops should not harm the eyes.
2.
The medication contains powder, which may cause a foreign body sensation after application; this is a normal phenomenon.
3.
You may consider purchasing preservative-free artificial tears, as they may be more comfortable and have no side effects.

Reply Date: 2022/02/06

More Info


Managing eye discomfort, particularly in the context of dry eye syndrome and inflammation, can be a complex issue that requires careful consideration of various factors. Based on your situation, here are some insights and recommendations.

1. Understanding Eye Drops and Their Effects: The eye drops you were prescribed, including FML (fluorometholone) and Systane Hydration, are commonly used to manage inflammation and provide lubrication, respectively. However, it's not uncommon for patients to experience discomfort or an unusual sensation after using certain eye drops. This discomfort can sometimes be attributed to the preservatives in the drops or the formulation itself. If you experienced increased discomfort after using FML, it may be due to sensitivity to the medication or an adverse reaction. In most cases, any irritation caused by eye drops is temporary and should resolve on its own once the drops are discontinued. However, if the discomfort persists, it's essential to consult your eye care provider for further evaluation.

2. Alternative Treatments for Inflammation: If FML is not suitable for you due to discomfort, there are alternative treatments available. Your doctor may consider prescribing a different corticosteroid that may be better tolerated or recommend non-steroidal anti-inflammatory medications. Additionally, other treatments for dry eye syndrome, such as punctal plugs (which help retain tears on the surface of the eye) or prescription medications like cyclosporine A (Restasis) or lifitegrast (Xiidra), can be beneficial. These options can help manage inflammation and improve tear production without the side effects you experienced with FML.

3. Self-Care Strategies for Dry Eye Relief: While waiting for your follow-up appointment, there are several self-care strategies you can implement to alleviate dry eye symptoms:
- Frequent Blinking: Make a conscious effort to blink more often, especially when using screens or reading. This helps spread tears evenly across the eye surface.


- Warm Compresses: Applying a warm compress to your closed eyelids can help stimulate the meibomian glands, which produce the oily layer of tears. This can improve tear quality and reduce dryness.


- Humidifiers: Using a humidifier in your home or office can help maintain moisture in the air, reducing evaporation of tears.


- Hydration: Ensure you are drinking enough water throughout the day, as hydration plays a crucial role in maintaining tear production.


- Avoiding Irritants: Try to avoid smoke, wind, and other environmental irritants that can exacerbate dry eye symptoms. Wearing sunglasses outdoors can help protect your eyes from these elements.

- Artificial Tears: If you find that Systane Hydration is not effective, consider trying preservative-free artificial tears, which are often better tolerated and can be used more frequently.

4. Monitoring Symptoms: Keep a diary of your symptoms, noting when they worsen or improve, and any activities that may contribute to discomfort. This information can be valuable for your eye care provider in determining the best course of action during your next visit.

In conclusion, while the discomfort you experienced after using FML may be concerning, it's important to remember that many factors can influence eye health and comfort. By exploring alternative treatments, implementing self-care strategies, and maintaining open communication with your eye care provider, you can effectively manage your symptoms and improve your overall eye comfort. If your symptoms persist or worsen, do not hesitate to seek further medical advice.

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