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Eye & Vision Message Board

Eye & Vision Board Index

Different people have different reactions to medicines. The Tobramycin might have been great for somebody else, but for you it may have caused more problems. The thing about Tobramycin is that it is a good antibiotic for eye infections, but it's not used too much anymore because there are so many other, newer ones out there. I have been on it twice. Once it was prescribed by my General Practicioner when I had my first case of pink eye, and did not have an ophthalmologist available to go to. The infection went away, but I was still having a lot of problems. It is hard to differentiate between what is an infection and what is an allergy. Still not feeling well, I went back to my GP. He prescribed something called Neomycin ointment. He said he wasn't sure if I was still infected or not, but thought that would take care of any residual bacteria. But I got SOOOOOOO much worse on it. I immediately got out the phone book and started calling every ophthalmology office in town until I got somebody who could see me that day. I went to the office not even knowing the name of the doctor I would be seeing, and thinking that I would only go to this guy once, and then when my family's ophthalmologist got back from her vacation, I would go back to her. Well, within 5 minutes of having met him, this doctor made such an impression on me with his knowledge and expertise and caring, that I knew I would never go to anybody else as long as I lived. He told me that my eyes were no longer infected, I was having a very bad allergic reaction to the Neomycin ointment. He gave me allergy drops and tear drops, and also told me how severely dry my eyes were (are). I told him that a few months ago I had tried contact lenses, but they kept falling out of my eyes. He told me that my eyes are too dry to wear contacts, and wanted to know what quack prescribed them for me. It was actually three doctors that allowed me to wear them. My original ophthalmologist, and two optometrists who measured my eyes and fitted me. And nobody ever said to me "hey, your eyes are dry, don't get contacts." :rolleyes:

Anyway, after trying plugs several times and having no luck (they kept irritating me and falling out) I ran into much more severe problems. December 24, 2001 I developed a severe ulcer in my right eye from the dryness. My eyes were so dry that just by blinking, I created a sore and rubbed off a section of the first layer of my cornea. Conventional antibiotics didn't even touch the infection that I had. I had to get fortified Tobraymcin drops and Vancomycin drops. Vancomycin is the antibiotic that they give in the hospital to people with Pneumonia and other deadly infections. My doctor called and called and called until he found a pharmacy that could make it into an eyedrop. I was on those drops for over a month, around the clock. Then it took another month of regular anti-biotic drops. Then, about two weeks after stopping the anti-biotics, we were in the process of cauterizing my tear ducts. But I got a corneal abrasion anyway. Same eye, just a different spot. Luckily I was able to use regular antibiotics for that. Soon after, all 4 of my tear ducts were permanently closed by cauterization. That helped the problem of lack of tears immensely. But it won't do anything for my tear quality. There is help for people with a lack of tears. The Restasis certainly could help you.

I even tried a form of Cyclosporine befor Restasis was approved. I was allergic to that too. But since Restasis was a different compound of cyclosporine, we thought I should try it. I am allergic to that too. My whole face gets red and my eyelids swell. My eyes itch and burn and look awful. Diquafosol is a drop that is supposed to stimulate the production of the oily and fatty layers of tears, which would tackle the problem of tear quality. It is still in the trial stages.

Have you tried plugs?

If you are not allergic to the Restasis, you should at least give it the full 6 months. It does help some people.

It is probably true that once the lacrimal glands are damaged they don't produce tears like they should, but don't let that WebMD doctor scare you. It doesn't mean that there is no help, or that your eyes will never get better.

Have you been tested for allergies? A lot of people have seasonal allergies that can make their eyes dry. It's a big contributing factor for me. I also have auto-immune problems, which can make your eyes dry as well.

I hope that you love the new ophthalmologist and that he can help you. Let me know how it goes. :)


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