Struggling with Dry Eye Syndrome: Seeking Help in Southern Taiwan

Serious issue (Forwarded from the Director's mailbox)

I have dry eye syndrome and was originally receiving treatment in the northern part of Taiwan.
Due to my studies, I moved to the south and when I visited the hospital (Kaohsiung Chang Gung Memorial Hospital and Yuan Shin Hospital), my eyes didn't feel very dry.
The doctors only prescribed allergy medications or anti-inflammatory drugs, seemingly not believing that I have dry eye syndrome, despite explaining my condition to them.
What should I do?

Chen, 30~39 year old female. Ask Date: 2004/06/29

Dr. Feng Jiefan reply Ophthalmology

Hello, the symptoms and clinical manifestations of dry eye syndrome can often vary, and different findings may be observed at each stage and time point.
There are many possible explanations for your condition, which is commonly encountered in clinical practice.
The most important issue is that your symptoms of eye discomfort have not improved.
If the situation remains unchanged and your eyes still feel uncomfortable, I recommend seeking a second opinion from another ophthalmologist or asking your doctor for a detailed explanation.
Sincerely, Dr.
Feng Chieh-Fan, Ophthalmologist.

Reply Date: 2004/06/29

More Info

Struggling with Dry Eye Syndrome can be quite frustrating, especially when you feel that your symptoms are not being taken seriously by healthcare professionals. It’s important to understand that Dry Eye Syndrome (DES) is a multifaceted condition that can present differently at various times, and it can be influenced by environmental factors, lifestyle, and even the time of day.
When you moved to Southern Taiwan and sought treatment, it’s possible that the doctors you consulted did not observe the typical signs of dry eyes during your examination. This could be due to several reasons, including the timing of your visit, the specific environmental conditions at that moment, or even the subjective nature of your symptoms. Dry Eye Syndrome can fluctuate, and symptoms may not always be present during a clinical evaluation.
The medications prescribed, such as antihistamines or anti-inflammatory drugs, may have been aimed at addressing other potential underlying issues, such as allergies or inflammation, rather than directly targeting dry eye symptoms. However, if you feel that your concerns are not being adequately addressed, it is crucial to advocate for yourself. Here are some steps you can take:
1. Seek a Second Opinion: If you feel that your current doctors are not taking your symptoms seriously, consider seeking a second opinion from another ophthalmologist, preferably one who specializes in dry eye conditions. Look for clinics that focus on ocular surface diseases or dry eye management.

2. Document Your Symptoms: Keep a detailed diary of your symptoms, including when they occur, their severity, and any factors that seem to exacerbate or alleviate them. This information can be invaluable for your healthcare provider in understanding your condition.

3. Request Specific Tests: Ask your doctor about specific tests for dry eye, such as tear break-up time, osmolarity testing, or ocular surface staining. These tests can provide objective evidence of dry eye and help guide treatment.

4. Explore Treatment Options: There are various treatment options available for Dry Eye Syndrome, including artificial tears, prescription eye drops (like cyclosporine A or lifitegrast), punctal plugs to reduce tear drainage, and lifestyle modifications (like increased humidity, taking breaks from screens, and staying hydrated). Discuss these options with your healthcare provider.

5. Consider Environmental Factors: Sometimes, environmental factors can significantly impact dry eye symptoms. If you are in a dry or air-conditioned environment, consider using a humidifier or taking breaks to rest your eyes.

6. Educate Yourself: Understanding your condition can empower you to have more informed discussions with your healthcare providers. Resources from reputable organizations, such as the American Academy of Ophthalmology or the Dry Eye Society, can provide valuable information.

7. Follow Up Regularly: If your symptoms persist or worsen, ensure that you follow up with your healthcare provider regularly. Continuous monitoring can help in adjusting treatment plans as needed.

In conclusion, while it can be disheartening to feel dismissed by healthcare professionals, it’s essential to remain proactive in seeking the care you need. Dry Eye Syndrome is a legitimate medical condition that can significantly affect your quality of life, and you deserve to have your symptoms taken seriously. Don’t hesitate to seek out specialists who can provide the appropriate care and support for your condition.

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