Answered by Dadapeer. K

How to treat pain due to aphakic bullous keratopathy pain?

Hello doctor,

For ten years, my husband has been successfully using an extended wear bandage contact lens (monthly wear) to control the pain of aphakic bullous keratopathy in one eye. About seven months ago, he had an episode of foreign body pain in the eye which the contact lens could not control. His optometrist changed the type of lens after remarking that the lens appeared tight. Although the painful sensations have decreased, they are still present with more of a sore feeling now. His ophthalmologist suggested that he discontinue the Azopt drops he had been using in case the preservative was causing some corneal toxicity. His eye pressure without the drops has read at 18 and 20 on separate occasions, but he does have corneal edema which may affect the measurement. He has had high pressure in that eye previously, but it was mostly lowered by Cyclodiode treatment some eight years ago. The consultant said he had left him on the Azopt drops just as a precaution. My query is that if the bandage lens has worked so well for pain management for 10 years is it possible that it can continue to work? And if the Azopt drops and their preservative had caused some toxic reaction seven months ago, could that still be causing him to feel the discomfort? His consultant suggested out that he could have the eye removed to control the pain, but as he has what he feels is some slight, useful vision in that eye, he does not want to take such a drastic and life-changing step. In fact, he wants to pursue the least invasive course of action to relieve the pain he is getting. I would appreciate any advice you could give as he is in quite a bit of pain.

15 May 2024 - 1 min read

Does diabetic retinopathy cause floaters in vision?

Hi doctor,

I am 27 years old. I got late-onset type 1 diabetes when I was 25 years old. I was told diabetic retinopathy takes at least five years, but I have had some vision changes. I am concerned about that. I have been seeing rather large floaters. They are not crystal floaters but appear in bright sunlight as transparent dark lines and in dimly lit rooms, when they move over light, they appear white. A couple of days ago I was driving at night and might have seen a flash, but it also could have been lightning in the sky off in the distance but I am not sure. Since then I have not seen any obvious flashes but have been questioning whether I am seeing small, barely visual ones. I made an appointment for a diabetic eye exam and the soonest I could get into an ophthalmologist who takes my insurance is in two and a half weeks. Is this too long to wait? I will definitely pay out of pocket for an exam if scheduling sooner could save my vision.

12 May 2024 - 1 min read

I have three boils under my eyelid. What could it be?

Dear doctor,

I had a small stiff boil in the middle of my eyelid for months. Then it disappeared and another one appeared in the outer corner of the same eye (right eye) and kept getting bigger and smaller and still has not disappeared.

Then, about six months later, when I blinked it hurt, and I felt another boil under my eyelid and when I looked it was full of pus and I did not disturb it. The next day when I woke up, my whole eyelid was swollen and hurt really bad. But the pain went down in three hours or so. I then realized that another boil was inside my eyelid. The boil burst by itself though and now I have three boils in my eyelid and the third one is in the inner corner of my eye. Is this serious?

23 Feb 2024 - 1 min read

Having ocular hypertension,will it lead to glaucoma? Is there a risk of blindness?

Hello,

I would like to have a remote eye view on a question related to glaucoma.

• I am 35 years old and I am being followed for 5 years for ocular hypertension.

• I have between 23 and 26 mmHg by applanation tonometer.

• My field of vision is good.

• Optical Coherence Tomography (OCT) examinations are good.

• And my optic nerves seem normal.

• During the first 4 years I had followed every six months.

• I do not have any treatment for the moment.

Given my age, this worries me somewhat. So, I would like to get your opinion in response to some of my questions:

• Given my young age and this pressure, will it likely lead to glaucoma?

• My potential life expectancy is still important, is there a risk of blindness?

• I have a 4 years old boy, when should he start being examined for this problem?

• I would like to have more children, however, I wonder about the risk of transmitting a possible glaucoma which slows me yet.

Thank you.

07 Feb 2024 - 1 min read

My father is a known diabetic and hypertensive patient. Now got a sudden onset of double vision.

Hello Doctor,

My father got double vision suddenly. Age 58 years. His BP was high. He has diabetes.

His CT Scan report says:-

Impression: Multiple calcified foci as described above. Diffuse cerebral atrophy.

Content: Two calcified foci without perilesional oedema are seen in bilateral occipital region. Prominence of cerebral cortical sulci are suggestive of diffuse cerebral atrophy.

What dose this mean?

06 Feb 2024 - 1 min read