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Ask wieyedoc Your Own Question
wieyedoc, Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 14596
Experience:  I have over two decades of clinical experience and am also a retina specialist.
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Persisting Dry Eye symptoms despite frequent treatmentnwith

Customer Question

Persisting Dry Eye symptoms despite frequent treatmentnwith Carmellose, Systane balance, Hylocare and Geltears.
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Yes. Carmellose at present
JA: Anything else in your medical history you think the Doctor should know?
Customer: Bilateral cataract ops3-4 years ago(now aged 82), low pressure glaucoma (latanoprost drops daily) and dry macular degen.
JA: How long have you been dealing with this? Any other symptoms?
Customer: Preceded cataract ops. no other eye symptoms.
Submitted: 15 days ago.
Category: Eye
Expert:  wieyedoc replied 15 days ago.

Hi. I'm Dr. Rick and I have two decades of ophthalmology and retina surgery experience. I'm online and happy to answer your question today.

Expert:  wieyedoc replied 15 days ago.

How old are you?

do you wear contacts?

Do you have any other medical problems or take any medications?

This is not an answer, but an Information Request. I need this information to answer your question. Please reply, so I can answer your question. I look forward to helping you.

Customer: replied 14 days ago.
82yrsold; No contacts: Vascular Parkinsonism; longstanding Anxiety Depression:Chronic sciatica and back pain persisting since Discectomy in 1995; Probable T.I.A.in2016. Medication at present: Duloxetine 30mg mane,60mg nocte, Paracetamol 2qds, Pregabolin25mg b.d., macrobegron 50mgnocte, Clopidogrel 75mgdaily; Atavastin 20mgdaily. Also various Aperients daily.
Expert:  wieyedoc replied 14 days ago.

There are prescription drop, such as cromolyn 4%, that could help.

Also, other treatments can make things better:

Dry eyes are very common and can be improved by a stepwise series of therapies. First, the use of natural tears 4-6+ times/day to augment your natural tear production and the use of a medication called restasis to improve your tear production, if this doesn’t work then you can try temporary punctal occlusion of the lower puncta, then, if needed, temporary occlusion of all 4 puncta then, if indicated, surgical ( non-reversible) closure of the puncta. The openings to your tear drainage system are called puncta and you have one opening on each lid, near your nose. If this does not give relief then your eyelid opening can be made smaller with surgery (lateral Tarsorrhaphy).

Does this make sense to you?

I am happy to be able to help you today. If you would be so kind, please help me get credit for my efforts in answering your questions and press the excellent feedback button for this encounter. And, don’t forget, I work for tips. I would also be happy to continue to answer any more questions you have until we have resolved your concern.


Dr. Rick MD FACS