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Hi, Could I have an opinion re. a corneal scratch that happened on 6/3/14. The point of a holly leaf which was particularly long, sharp and firm went into my eye as I brushed past in the dark. It was quite a deep scratch on the cornea as confirmed by an optician but didn't go anywhere else in the eye as far as I could tell. There was pain and tears pouring from the eye that night but by morning the tears had eased up and there was no longer pain though my eyesight in that eye was blurred. I checked up with an optician a few days later as the eyesight was still blurred and he confirmed a deep scratch and prescribed lactilube. A week later I went back to the optician and the scar had healed but the eyesight was still blurred. The optician said that dye was showing that the tears are not covering the surface of the cornea properly and there may be a blocked duct causing dry eye but to leave it a couple of months and put in celluvisc drops. He checked and said there wasn't any permanent damage to the eye. It's now nearly 3 weeks since the scratch and my eyesight in that eye is still blurred though objects very close aren't blurred. The celluvisc drops don't make any difference to the blurring at all. The only symptom of blocked duct or dry eye I've had is the occasional scratchy pain first thing in the morning and a little bit of watering but it's only momentary and doesn't continue during the day. This doesn't happen every day and there's no general pain or redness.I should also mention that at the same time as the scratch I had an upper respiratory virus that was causing post-nasal drip. My question is - should I get a second opinion or will this take time to get back to normal? Could the blocked duct be related to the sinus problems with the upper respiratory virus? Thanks
Dear Dr. David,
Thank you for your reply. It's good to know that if the close vision is ok the eye is not damaged. The respiratory virus started quite a while ago (about 7 weeks ago) though I still have some post-nasal drip which is beginning to clear up. The eye is a little scratchy and watery first thing in the morning but that's all.
I still have blurred vision on any object more than a couple of feet away and am wondering how long this could take to clear up and if it's a gradual return of vision or sudden improvement? Does a blocked duct/dry eye clear up without treatment?
Are there any eye drops that might be more effective than the celluvisc which didn't help at all?
Thank you for the information. I don't think I have blepharitis as I have none of the symptoms listed but I will try the warm compresses on the eyelids. Can you recommend any eye drops that might be more effective than the celluvisc drops, eg. more oily drops or will they block ducts more? I need to improve my vision quickly if at all possible.