Does this qualify as dry eye syndrome?
Hello, doctor.
Today I visited an ophthalmologist because my eyes are itchy, and I feel a dull ache in my right eyebrow.
Previously, in September, I woke up in the middle of the night with severe pain in one eye, which was filled with blood vessels and teared up for about ten minutes before it got better.
The doctor examined my right eye and mentioned it was slightly dry.
He prescribed a bottle of artificial tears (Alcon) and a bottle of antihistamine eye drops (Anyi Min), advising me to use the antihistamine drops if my eyes are itchy.
Does this mean I have dry eye syndrome? If my eyes are not gritty or sore, do I need to continue using both of these medications? I noticed the prescription states to use them for 14 days, which I assume means I should use them continuously for 14 days and then return for a refill, correct? Or if I don't feel any discomfort, should I not return? The doctor did not provide a follow-up appointment.
Additionally, after using the antihistamine drops today, I felt a slight burning sensation.
Should I continue using them? Thank you for your help.
A, 20~29 year old female. Ask Date: 2022/11/16
Dr. Gao Pilin reply Ophthalmology
Hello: The doctor may think your eyes are drier, so they prescribed you artificial tears, and the itching in your eyes is caused by allergies, so they gave you antihistamines.
If your eyes improve after a few days of use, you can stop the medication.
If there is no recurrence, you do not need to continue using it.
The burning and stinging sensation is due to the medication and is not a concern.
Reply Date: 2022/11/16
More Info
Dry Eye Syndrome (DES) is a common condition that occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. This can lead to inflammation and damage to the surface of the eye, resulting in a variety of uncomfortable symptoms. Based on your description, it seems you may be experiencing some of the typical symptoms associated with dry eye, such as itchiness, discomfort, and a sensation of dryness.
Symptoms of Dry Eye Syndrome
Common symptoms of dry eye include:
- A gritty or sandy sensation in the eyes
- Redness and irritation
- Excessive tearing (as a reflex to dryness)
- Blurred vision or fluctuations in vision
- Sensitivity to light
- Eye fatigue, especially after prolonged screen time or reading
In your case, the itchiness and the sensation of pressure around the eyebrow area could be indicative of dry eye, especially since you mentioned experiencing sharp pain and redness in the past. The fact that your doctor noted a slight dryness in your eye during the examination supports this possibility.
Treatment Options
The treatment for dry eye syndrome typically begins with artificial tears or lubricating eye drops, which you have been prescribed. The two medications you received, Alcon artificial tears and an antihistamine eye drop, are commonly used to alleviate symptoms. The artificial tears help to provide moisture and lubrication, while the antihistamine drop can help reduce itchiness and redness, particularly if allergies are a contributing factor.
Regarding your question about the duration of treatment, the 14-day prescription likely indicates that your doctor wants you to use the drops consistently for that period. However, if you find that your symptoms improve significantly and you no longer experience discomfort, you may not need to continue using the drops indefinitely. It is essential to monitor your symptoms closely. If you feel better, you can reduce the frequency of use or stop altogether, but if symptoms persist or worsen, it would be wise to follow up with your eye doctor.
When to Seek Further Help
If you experience any burning or stinging sensation after using the antihistamine eye drops, it is advisable to stop using them and consult your doctor. This could indicate an adverse reaction to the medication. Additionally, if your symptoms do not improve after the 14-day period or if they worsen, you should return to your eye doctor for further evaluation. They may want to conduct additional tests to assess the severity of your dry eye and explore other treatment options, such as prescription medications, punctal plugs to block tear drainage, or more advanced therapies.
Conclusion
In summary, based on your symptoms and the doctor's initial assessment, it is possible that you have dry eye syndrome. The prescribed treatments are appropriate for managing your symptoms. Keep track of how your eyes feel over the next couple of weeks, and do not hesitate to reach out to your healthcare provider if you have concerns or if your symptoms change. Regular follow-ups are crucial in managing chronic conditions like dry eye syndrome effectively.
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