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Eye & Vision Message Board

Eye & Vision Board Index

Well you are right, I am not a dr. But I will try to answer your questions to the best of my ability. Just don't go by what I say alone. Make sure you talk to your dr.

I suppose that anyone can develop a corneal ulcer if you rub your eyes hard enough. :) I was diagnosed with dry eyes in October of 2001, and I developed the ulcer in the very end of December of that same year. No matter what my dr and I tried, we just could not control the dryness. The reason I got the ulcer was because my eyes were soooooooo dry (even with plugs I did not have one single tear in my eyes). We are not even sure how exactly I got it, but we think that I probably just blinked the wrong way and because my eyes were so dry I did not have a layer of tears between the eyelid and the cornea, which caused the eyelid to rub off the surface of my cornea. Or, I could possibly have rubbed my eye or there could possibly have been some kind of foreign body that I didn't know about. But the thing is, sometimes with corneal abbrasions you don't know that you have one until you start feeling pain. For me, by the time I started to really feel pain it was too late. Mine happened on christmas eve, and I had absolutely no CLUE what it was. So I went and saw my dr the day after christmas with my eye blood red and painful to the touch. I just thought I had some sort if irritation. Yeah, right.

But the point is, anybody can get an abbrasion or an ulcer. My mom had an abbrasion a few years ago, and had never had an eye problem a day in her life. She's never had one since then either, thank God. But the eyes are just very unpredictable and very fragile, especially in people like us. I am not sure of the likelihood of getting an abbrasion or an ulcer with your condition. For me, it is always in the back of my mind because it has to be. Now, the minute I feel the slightest bit of pain, I in the drs office! If it's on a weekend or after hours, I call him on his cell phone and he meets me there. :) LOL! But I have to be paranoid, because for me the minute I let my guard down with this, I will get another one. But I have also taken steps to prevent it, such as permanently closing all 4 tear drainage ducts, etc.... And would you believe that my primary care dr has the nerve to tell me to use tear drops? LOL! (he doesn't know what I've been through though!)

So I would say that it is definitely possible for anybody to get an abbrasion or an ulcer, but in order for you to get it in the same way that I did (completely unwittingly!) your eyes would have to be terribly dry.

I really do not know about the likelihood of getting ulcersor abbrasions with blepharitis. It is always possible, but I have no idea about the chances, etc... You'd have to ask your dr about that. But I wouldn't worry about it unless God forbid it comes up. Like I said, it is always possible but I am not sure about the likelihood of it happening to you. Best to ask your dr that. The chances are much less though if you get your eye problems under control. Make sure you keep them very well lubricated if they are dry. Stay out of the wind (no fans, etc...) Make sure the air in your house is nice and moist, and that you don't rub your eyes. In other words, take care of them and be extra gentle. That's the only thing to do if you are trying to avoid an eye injury.

Now about the anti-depressants. When I first started taking them I did not have any eye problems. I had been on them for about 3 years before my eye problems developed. In order to help combat my anxiety attacks (which I no longer have), my dr gave me Ativan to take when I was having an accute attack, and Ambien to sleep with. Once I got my life straightened out I no longer needed the anxiety pills or the sleeping pills.

I would just say don't worry yourself about getting a corneal abbrasion or ulcer. (I'm sorry I ever mentioned it if it is going to cause you this much anxiety!) Bring it up with your dr at your next visit, but don't worry too much about it. If it happens, it happens. I had a very difficult time with mine because it did not respond to regular anti-biotics. But most do, and they heal much much quicker than mine did. And if it's any consolation, I did not end up losing any vision because of the ulcer. My dr knew just when to put me on steroid drops to minimize scarring, and sometimes when other drs (his associates) look in my eyes, they can't even see the spot where the ulcer was. He knows where the scar is though, because he says "I have memorized every facet of your eyes!" He knows my eyes like the back of his hand!

But I would just say to try not to worry yourself over things that you cannot control. Just try to fix the things that you CAN control, like finding the right doctor and getting on a good treatment program both for your depression/anxiety, and for your eyes. You can't always control your medical conditions, but you can control how you react to them and what you do about them. Don't let it get you down. A good psychological attitude is imperative to good physical health. Even with all of my eye problems and other health problems (and believe me, there are lots of other ones besides my eyes!), I am still one of the most optimistic people you will meet. I figure, I'm only 22 years old. I am young enough to get all these problems out of the way and at some point live a "normal life". I just have to keep rolling with the punches. I take apples and make applesauce (even though I don't like it very much!) . Life gives me lemons and I make lemonade. You've got to try to find one positive thing about what is going on in your life. Look hard enough and it will be there.

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