Hello Doctor
I got GPC on my left eye when I overused my contacts and I was on Lotemax for about 2 months, the bumps went away but I still have problems on my left eye. its usually redder than my right eye and my upper eyelid gets itchy and swollen randomly time to time, I tried Allaway but it didn't help, I also use a lot of Artificial tears and Gels so I'm sure its not from dryness.
GPC varies quite a bit in how quickly it resolves, from days to over 14 months and unresolved despite no contacts anymore. If you have allergy issues then that can play a factor and allergy meds can help, as can changing contact lens brands to ones with different materials or perhaps a different fit. I wore contact lenses for decades, and for the first couple I'd sometimes get GPC during allergy seasons and need to stop contact lens use for days or a few weeks and it would go away.
I have GPC and do not wear contacts. I’ve been on prednisone eye drops for the past week with no relief. Was on Pataday for a month before that with no relief. What can I do?
Avoid contact lenses till the GPC is all gone. It will get worse again if not fully resolved.
First of all pred forte (PF) a strong steroid with many side effects if used for months on end (glaucoma, cataracts) is NOT the preferred treatment for GPC. The RX is Opticrom (cromylin sodium) and ceasing wearing contacts. It can take 6-12 months for the GPC to clear. Hopefully you are under the care of an eye MD. If you were prescribed PF by optometrist I would see an Eye MD ophthalmologist ASAP. Follow this link and read about GPC https://emedicine.medscape.
I was diagnosed with GPC and recently ended the use of steroid drops. Ever since I've stoped the steroid drops, I've woken up with crusty, glued eyes. Could the lingering GPC be causing this? I've been doing artificial tears multiples times a day and Pataday drops 2x a day. I have a follow up appointment soon, I'm thinking about trying to move it up if this is something serious.
I went to see the eye doctor in January of this year and he said that I have GPC and gave me alamast and told me not to wear my contacts. However, this has not helped. My eyelid still swells up. I went back to the doctor in May and he gave me a 30-day supply of Dexamethasone eye drops. After a week or so on them i was able to have some relief. After the 30 days on this the doctor gave me elestat and said my eye looked much better.
I've had GPC for 4 years. I have not worn my contacts in 4 years (except for special occasions). I have chronic pain and redness in my left eye, even when I don't wear my lenses. I've been on the steroids, the patanol, etc. Nothing works long term.
I decided to explore alternative treatments (acupressure, acupuncture, NAET, BioSet). Through NAET (naet.
Go in to see the optometrist or ophthalmologist that fit your contacts, have them flip the upper lid to check for problems including GPC (giant papillary conjunctivitis) which is a contact lens related problme that could cause those symptoms.
"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.
When does the swelling/ptosis of GPC go away? I have had this for over a month now. The MD gave me Alamast and said just stop wearing my contacts for awhile. He did not want to give me any steriod drops for the swelling because he said that is just a temporary fix. I look under my eyelid and do notice the small white bumps. They haven't gone down in size yet. The "foreign object sensation" has gone away. I'm worried this will last forever!
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.
First of all, when I went to the first specialist, he did not say anything about GPC and I had not felt any discomfort from wearing my contact lenses up until the foreign body incident for obvious reasons. I stopped wearing them for a month and after I wore them again I "suddenly" develop a case of GPC, This was my first visit to this specialist and it was 6 weeks ago.
He said it is possible that I am developing intolerance to contact lenses. I have had GPC twice in the past (though not anytime recently). Is it possible that I may be destined to stop wearing contact lenses for good? Can some people immune systems simply continue to react to any/all lenses?
Is zylet cortiosteriod/antibiotic a good alternative to Lotemax + asasite. Asasite burns a lot and is very uncomfortable twice a day to use.
My son was diagnosed with GPC around six months ago. He has been on an oral antihistimine (claritin) for many years and uses Patanol and theratears. He was told he could no longer wear contact lenses (that's fine) and hasn't since his diagnoses. There is little change to his GPC even after using a prescription eye drop with steroids and antibiotic. His opthamologist never asked if he used any face cleanser. He uses a 10% Benzoyl Peroxide wash, in addition to Clearasil pads.
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 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.
Your visual abnormalities may quitelikely be due to your contacts and GPC. Actually with GPC you should probably NOT wear your contacts, use cromolyn drops and give your eye several months rest until the GPC goes away. After than you might consider daily disposable contacts, glasses or lasik.
GPC produces mucous that coats the cornea and fills the tear film.
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?
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