You need to have your upper eyelids flipped and checked for giant papillary conjunctivitis from the contact lens.
But this time when i saw the doctor he said i had some conjunctivitis in the eyelids and that i would just continue on Pataday and some more drops for at least a month. I did tht and when i came in for my checkup the doctor said my eyes only looked dry. He perscribed more Pataday and some eye drops and told me in about a week i could resume with contacts that were dailys . A week after has passed and my eyes are getting red.
It could still be the contacts, you may have GPC giant papillary conjunctivitis. Google that and read about. Can take 6 months or more to clear up even with stopping your contacts.
Suggest you see an Eye MD ophthalmologist that specializes in "external disease and corneal disease. Find one near you at www.geteyesmart.
org/eye-health/diseases/what-is-giant-papillary-conjunctivitis . As I said in the earlier postings, GPC whether due to contact lens (most cases) or no contact lens (rare) is not going to clear up in a week, even if on steroids. If available to you get a second opinion if you are not better after 2 weeks on ssteroid drops.
There are several causes for this including an allergy to contacts called giant papillary conjunctivitis. Anyone wearing contacts needs to be under the care of an eye MD ophthalmologist or optometrist.
Chronic recurrent conjunctivitis is not that common and there are usuallly unrecoginized CHRONIC causes like dry eyes, blepharitis, eyelid abnormalities, tear duct problems, (in people that continue to wear contact lens that is the cause 99% of the time), GPC (giant papillary conjunctivitis), allergy to drugs or preservatives.
My suggest see a Eye MD that specializes in cornea/external disease. you need a tertiary referral specialist.
Dear lovelyiam,
I would recommend that you seek the care of an eyeMD to determine the cause of your redness. Possible diagnoses include dry eyes, giant papillary conjunctivitis [or an allergy to lenses], toxicity to the solutions.
Dr. Feldman
Sandy T. Feldman, M.D., M.S.
There is some possibility that you problem may be related to your previous contact lens wear due to GPC or giant papillary conjunctivitis. use the search feature and read about that and also google the term. Its usually easy to diagnose by flipping the eyelids and look for the characteristic changes on the back side of the upper lid. Treatment is leaving contacts out and cromolyn eyedgrops.
2.
At around the time I had the first measurement taken, I had been using Opticrom eye drops for Giant Papillary Conjunctivitis. The active ingredient in Opticrom is sodium cromoglicate. Do you think these eye drops could have caused dehydration of my cornea and therefore a thinner corneal thickness reading?
From what you said you always responded to steroids so it is a possibility that allergies or some type of allergic type condition like giant papillary conjuctivitis or atopic conjuctivitis or vernal conjuctivitis is the culprit. In other words steroids might have been stopped too soon possibly and allergy drops may needs to be continued long term and I understand you never had allergy testing so get that done. You mentioned bacterial conjuctivitis but that would be very easy to rule out.
One possibility is GPC, or giant papillary conjunctivitis, which is a response of the upper lid tissues to the contact lens material or deposits on the contact lens. This is diagnosed by everting the upper lid and looking for the characteristic bumps (papillae). Since you are not noticing improvement, I would see an ophthalmologist for a complete evaluation, and leave out the contact lens until then.
Also be sure the CTL fitting flips both your upper lids another cause is giant papillary conjunctivitis (GPC) which is an allergic problem to contacts and is diagnosed by looking at the INNER surface of the upper lid.
99% of the time this is a contact lens problem. Often a condition called GPC or giant papillary conjunctivitis. You will need to work through this with your contact lens fitter. To DX GPC your upper eyelids need to be flipped and the back surface inspected.
Our Kansas City practice has analyzed why people seek lasik surgery and fully 20% its because they have lost the ability to wear contacts.
everts or flips the upper lid as a contact induced allergy called giant papillary conjunctivitis (GPC) often causes these symptoms. To get some relief as I said LEAVE CONTACTS OUT, use warm or cool compresses and try over the counter Zaditor for itch.
It is difficult to assess what the diagnosis is from your description. Sometimes, people develop giant papillary conjunctivitis and do have difficulty wearing contact lenses again; however, often we will try to have you institute wear slowly. Also, what type of scarring do you have? I would also recommend you obtain an updated glass prescription so that you can drive effectively.
Dr. Feldman
Sandy T. Feldman, M.D., M.S.
Just wanted to add that my left brow above the eye which has problems has also moved up since the problem began. Just wanted to add that as I thought it might make a difference in diagnosis of my problem.
Have the eye doctor evert (flip) the upper lids, to look for a condition called GPC, or Giant Papillary Conjunctivitis. This is an inflammatory reaction to the contact lens and proteins on it, and can cause some of the symptoms you are having. Treatment consists of a period of no lens wear, a combination anti-histamine and mast cell stabilizer eye drop, and possibly changing to gas permeable or daily disposable soft lenses.
They may not fit, you may be wearing them incorrectly, they may be damaged, you may be allergic to solutions used on them, you may have giant papillary conjunctivitis or you may have just lost the ability to wear contacts. (IT happens a lot).
Dear s0898,
I would recommend that you seek the care of an eyeMD to determine the cause of the redness and irritation. Many possible conditions including giant papillary conjunctivitis [or an allergy to contact lenses], poorly fitting lenses, infection around the eyelids might be causing your symptoms.
Dr. Feldman
Sandy T. Feldman, M.D., M.S.
I get stringy mucous in my eyes.My doctor gave me patanol but it only worked for 6 days.It has only .01 strenght.Would a stronger strenght relieve my eye symptoms?
I have worn contacts for many years,but recently they stopped making the style I have worn for most of those years. Since then I have had a lot of trouble. I will get a new pair/brand and they Wil be ok for a few weeks them they are blurry and uncomfortable. When I get checked the Dr always says they aren't fitting right and moving too much. Recently he noted giant capillary conjunctivitis, and gave me pataday drops.
Both eyes look absolutely normal to ophthalmologists, no evidence of retinal or other damage (but I do have giant papillary conjunctivitis from contact lens wear)
Left eye
1. More myopic
2. Had severe stabbing pain for 2 days
3. More affected by (3) above
4. Occasionally see "floaters"
My ophthalmologist seems very competent, but very busy. Interactions are very short. I don't understand what's going on really. Any advice on reading material to inform me?
I was recently had an eye exam and pointed these symptoms out to my doctor, but she seemed to think nothing wrong. I did have a mild case of conjunctivitis (I think) and was perscribed Pataday eye drops to deal with it (I've noticed my contacts have been sticky after taking them out of my eyes and I have developed more of that "gunk" in my eyes when I sleep, but it seems to go away with use of the eyedrops).
One of my eyes is slightly weaker than the other.
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