Managing Dry Eye Syndrome: Insights on Eye Drops and Treatment Concerns

Q: Managing Dry Eye Syndrome: Insights on Eye Drops and Treatment Concerns

Hello： 1. <br>Experiencing temporary blurred vision after using artificial tears is a common side effect and typically resolves on its own within a few minutes. <br>This temporary blurred vision is transient and should not cause any lasting impact on your eyesight. <br>If your vi

Dry eye syndrome eye drops

Hello Doctor, I have a problem with dry eye syndrome.
After my visit to the hospital today, the doctor prescribed two eye drops and one gel: Alcon Tears Naturale eye drops, Vitis eye gel, and Furlong eye drops.

1.
After using the Tears Naturale eye drops, I experienced temporary blurred vision that lasted for a few minutes.
Is this normal? Can I continue to use it?
2.
I researched Furlong eye drops online and found that it contains steroids, which may increase intraocular pressure and lead to glaucoma with long-term use.
How long is considered "long-term"? The doctor instructed me to return for a follow-up in one month.

3.
About half an hour after using the Tears Naturale eye drops, I applied the Furlong eye drops.
A minute later, I felt irritation and a burning sensation in both eyes, which lasted for about an hour before slightly easing, but I still have a mild burning sensation now.
Is this a normal reaction? The medication list mentioned this as a potential side effect.
Should I continue using it or stop? I have experienced similar issues before (not with the same eye drops), where the burning sensation lasted three days before completely disappearing, and I stopped using the eye drops at that time.

4.
If I decide to stop using the Furlong eye drops, can I revert to using the eye drops I received during my visit on July 1 (Costco eye suspension) since I did not experience any side effects from them? I will be working in a different location soon, and the next follow-up appointment won’t be until the end of the month.

Thank you for your response, Doctor!

Mr. Lai, 20~29 year old female. Ask Date: 2023/07/07

Dr. Gao Pilin reply Ophthalmology

Hello: 1.
Experiencing temporary blurred vision after using artificial tears is a common side effect and typically resolves on its own within a few minutes.
This temporary blurred vision is transient and should not cause any lasting impact on your eyesight.
If your vision returns to normal after use and you do not have any other discomforting symptoms, you can continue using the eye drops.
However, if this symptom persists or worsens, it is advisable to consult an ophthalmologist.
2.
Regarding the use of fluorometholone eye drops (which contain steroids), long-term use may lead to increased intraocular pressure and a higher risk of glaucoma.
A usage period of one month is generally considered relatively short, but the specific duration should be determined based on your individual circumstances and your physician's recommendations.
3.
Experiencing a stinging or burning sensation after using fluorometholone eye drops is one of its common side effects.
These discomforts are usually temporary and will gradually subside over time.
If this discomfort lasts too long or intensifies, or if you have a significant adverse reaction to the eye drops, it is recommended that you discontinue use and consult an ophthalmologist.
4.
If you decide to stop using fluorometholone eye drops, you can revert to using the eye drops previously prescribed during your clinic visit (such as Lotemax suspension), as both are the same medication, though they may differ in concentration (0.02% or 0.1%), which may result in varying strengths of effect.

Reply Date: 2023/07/07

More Info

Managing dry eye syndrome can be quite challenging, especially when it involves the use of various eye drops and gels. Your concerns regarding the medications prescribed to you are valid, and it’s important to understand how to manage your symptoms effectively while minimizing potential side effects.

1. Temporary Blurred Vision with Eye Drops: It’s not uncommon to experience temporary blurred vision after using certain eye drops, especially those that contain preservatives or are thicker in consistency, such as gels. The blurred vision typically resolves within a few minutes as the drops spread over the surface of the eye. If the blurriness persists or worsens, it would be advisable to consult your eye care provider. However, if it resolves quickly, you can generally continue using the drops as prescribed.

2. Concerns About Steroid Eye Drops: You are correct that some eye drops, like the one you mentioned (復爾朗), contain steroids, which can lead to increased intraocular pressure and potentially cause glaucoma if used long-term. The term "long-term" can vary, but it generally refers to use over several weeks to months. It’s crucial to follow your doctor’s instructions and return for follow-up appointments to monitor your eye pressure. If you have concerns about the duration of use, discuss them with your doctor, who may adjust your treatment plan based on your specific needs.

3. Stinging and Burning Sensation: Experiencing a stinging or burning sensation after using eye drops can be a common side effect, especially with certain formulations. If the discomfort lasts for an extended period (like an hour or more) or if it is severe, it may be a sign that the drops are not suitable for you. Since you mentioned having a similar experience with a different medication, it might be wise to stop using the drops that cause discomfort and consult your doctor about alternative options. Your comfort is essential, and there are many formulations available that may be better tolerated.

4. Switching to Previous Eye Drops: If you decide to stop using the current eye drops due to discomfort, it is reasonable to revert to the previous eye drops (好事多眼用懸浮液) that did not cause side effects. However, it’s essential to inform your doctor about this change during your next visit. They can provide guidance on how to manage your symptoms effectively and may suggest a more suitable treatment plan.

In addition to the above points, it’s important to maintain a consistent routine with your eye care. Regular use of preservative-free artificial tears can help keep your eyes lubricated and alleviate dryness. You might also consider lifestyle adjustments, such as taking breaks during prolonged screen time, using a humidifier, and wearing sunglasses outdoors to protect your eyes from wind and sun exposure.

Lastly, if your symptoms persist or worsen, or if you experience new symptoms, do not hesitate to seek further evaluation from your eye care provider. They can conduct a thorough examination and may recommend additional treatments, such as punctal plugs or prescription medications, to help manage your dry eye syndrome effectively. Remember, managing dry eye is often a multifaceted approach, and finding the right combination of treatments is key to improving your quality of life.

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