He mentioned that I had a lot of protein build up on my contacts and did a stain and he said I had dry eye. He prescribed Lotemax .05 as a first step therapy. Being fearful of steriods, he said that this is a mild steriod and hasn't had anyone have any problems with it. He said it's completely safe. Well, one month later, he informs me that I have cataracts (posterior subcapsular cataracts) and that they are a .5 on a scale of 1-4.
I keep going back on a weekly basis for checkup and he advised me that I could go ahead and wear my contacts. Well I put my contacts back in and still continued to have problems with glare. I went back and on the next follow-up visit he said that he did see some SEI and that it would just take time for them to clear but he did not say to stop wearing contacts.
I am at my wits end. I have been getting eye infection after eye infection for over a year. At first I went to my regular doctor, then my optometrist and now an ophthalmologist. At first they were every 3-4 months, then monthly, and now they are occurring two weeks apart. Ophthalmologist thought it was my contacts but I've been wearing them for decades with no problems. I switched to dailys anyway and got an infection a week later.
After a week of using the prescribed eye drops (Vigamox, Lotemax, Tobradex) it went away. The optometrist said the bacteria was gone and so I started wearing contacts after a day's rest. Within a day of getting off the medicated drops, there was a pink blur in my left eye. I continued using the medication thinking it was pink eye again. It worked for a week but now my eye is quite veiny.
The doctor also had said that my eyes were very dry.
Is this a practice that you have seen before in your clinic? the lotemax combo? can i wear contacts if I wait 30 minutes before putting them in (I only wear for a few hours or so) I know you said it exacerbate sthem but they dont seem to be red or irritated.. sometimes i feel them and then i take them out...**
My update - If I dont see too many noticable changes in zaditor, optivar or patanol.
So i went to my ophthalmologist again and he said that I was probably allergic to the contacts so he gave me some eye drops lotemax. I now am not wearing contacts at all do to my eyes getting red but I am still having eye problems my eye hurt near the corner of the eye , there are small veins that are around the cornea.
Have cauterized lower puncta and have tried plugging upper puncta with no success. Have worn large contacts. Have tried every eye drop known to the medical community. Had silver nitrate treatment x 2. Now am on 1% Cyclosporin, which burns like acid. Nothing has even begun to work.He said the next step was to have ocular surgery where the mast cells are literally scraped off, but he said it's not always successful.
a week later my vision was hazy and I went to the Ophthalmologist he said I had infiltrates and prescribed Lotemax. I was on it for about a month but I never got 100%, still can hardly see at night (see glare, starburst and halos) I had to go to the doctor every week for a checkup. Well, on my last checkup with the Ophthalmologist I felt as if he just blew me off saying that it was just going to take time.
Several months ago I suddenly started having contact lens intolerance in my left eye. I got new contacts and explained to the doctor that they were uncomfortable and it was like I could feel the edge gripping my eye.
The discomfort progressed over several months, until now I can only stand a few hours of wear in that left eye.
One day recently I put my contacts in and really focused on where I was feeling the discomfort. I noticed it much more so when I move my eye down and to the right.
"Lotemax is the only steroid that can be prescribed for long term therapy" This statement by PDophthalmology is incorrect.
Any steroid drop can be prescribed for long term use. The question is should they be and if they are needed what is the best choice.
First many conditions such as chronic uveitis require long term therapy of strong steroids such as pred forte, vexol, FML As with any steroid taken long term side effects are common and close monitoring is important.
My doctor said i would have to stop using Tobradex as the steroid has caused the raised eye pressure and prescribed instead Lotemax and Cravit to be used 6 times a day and Azarga 2 times a day. Upon reading, i just realised that Lotemax also contained steroid, so why is it given to me then? I have asked her and she said Lotemax rarely cause raise eye pressure. I am just not sure. Can a kind ophthalmologist assure me this is alright? Thanks.
Lotemax is the brand name of the drug loteprednol. It is a steroid anti-inflammatory like Pred Forte and likely is to be used in place of Pred Forte (or the other way around). You would need to ask your doctor to be sure. "Lotepred" on the label must refer to the generic name of loteprenol.
The brand name of Ketorolac, which is a non-steroidal anti-inflammatory, is Acular. So, nothing you have replaces the Ketorolac. Sorry. Maybe your doctor could give you a sample.
P.S.
Is zylet cortiosteriod/antibiotic a good alternative to Lotemax + asasite. Asasite burns a lot and is very uncomfortable twice a day to use.
i also experience itching and irritation in both eyes from time to time. SHOULD I START LOTEMAX? will it be effective?
Worried I had an eye infection I called my doctor and I was prescribed to go on lotemax for a month. Almost immediately the discharge went away and I was fine as I finished my prescription. During this time I visited my doc to double check things and she said it was actually mostly meibomian gland dysfunction along with allergies. She just recommended the lastacaft again along with a daily eye cleanser once I finished the lotemax.
He also said I could continue wearing my contacts. I interchanged contacts and glasses for awhile. In July I noticed that my left eye was blurry (with my glasses on). I went to the ophtalmologist again and this time he told me that I had an infection and a corneal abrasion. He gave me some antibiotics and within a few days the redness disappeared but the blurry vision remained.
I have been taking Lotemax for a few months. My doctor said as long as my IOP remains low I can take this for years. If I develop a cataract from this and have to have surgery will cataract continue to comeback if I continue taking Lotemax?
My pressures range naturally between 20 and 26. I was then asked to go back on the steriod eye drop Lotemax which I was very worried about as the steriod eye drop Maxidex had caused my pressures in less than a week to rise to 58! But they said I had to so I started Lotemax and Iopidine.
I took myself back to the hospital 3 days later as I felt increased pain and my pressures were rechecked at 30 and 36. I mentioned is this the steriod as 3 days ago they were 24 and 26!
It seems to be very slowly detaching with the use of Lotemax and Nevanac eye drops, with a small section yet to go. Today I experienced a sharp pain in my left eye while reaching for something, then a couple minutes of tears flowing. I've experienced that pain (tho not as sharp) a couple of times during this period. Felt like an eyelash in the eye, but there was nothing visible in my eye. bWhat are the possible causes? Could it be the membrane separating?
t working any more, so I went to an ophthalmologist in Orlando who examined me and said there was nothing wrong. I was prescribed Lotemax drops to use in conjunction with Opcon A, and this worked for a while, but after a year or so it happened again, so I went to another ophthalmologist in Phoenix where I now live. He also found nothing wrong and gave me the same prescription for Lotemax.
He did not find any foreign object, but said i was having an allergic reaction and put me on alrex. A day later i was back at Dr because my eye was on fire. He switched me to lotemax and said i might have been sensitive to alrex. Several days passed with no relief. I sought a second opinion, and was told they could not find any foreign object, but my eye was in distress and dry, so i was told to contunue lotemax, and use gel drops.
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