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need to wear RGP contact lenses as always and not irritate my corneas from dry eyes

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Updated about 21 hours ago
Created July 30, 2011 at 1:07 AM

I have happily been wearing RGP lenses for over 30 years for all my waking hours without any problems. I see 20/20 with my lenses, and 20/40 with glasses. I irritated my eyes some time ago when home cleaning chemicals causes an irritation. I had irritated eyes again 6 mos. ago and I was told I now have dry eyes. Recently had irritated cornea twice in this month alone. Told again I now have dry eyes. Tried hot compresses and massage. Used Steroid drops. Eyes feel fine until I put lenses in. Must get back to wearing them. Have been taking flax seed oil capsules for many months. Besides medical eye drops, what can I do? Scrubbing under my lids is not doable, and don't have any of the bleparitis symptoms. Told I have some bumps under my eyelids, but my cornea getting irritated is what bothers me. Help me please. Only have discomfort all of a sudden when putting lenses in. Ever heard of that?

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1472 · September 10, 2012 at 7:03 PM

I was recently fitted for Scleral lens and they are much more comfortable than RGP lens. They too are RPG's but bigger. They sit on the white part of your eye, not the cornea. You fill them with saline solution before putting them in. You actually look thru a thin layer of saline film. They are expensive though. My RGP's were $250 for a pair and Scleral's are a grand a pair.

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3850 · January 10, 2012 at 12:19 AM

A reputable doctor won't do vision correction surgery while you have dry eyes. It changes your vision too much and will make healing more difficult.

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5 Answers

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60 · September 18, 2011 at 9:09 PM

It sounds like you may have MGD (definition: http://www.dryeyezone.com/encyclopedia/mgd.html) or posterior blepharitis (definition: http://www.aoa.org/x4718.xml). Besides compresses have you tried gently pressing down on your lids to express the oil glands or had a physician express the glands? Bumps on your lids typically indicate MGD / posterior blepharitis. Not all types of blepharitis are accompanied by flaking, etc.

Have you considered trying another kind of lense?

Also, I would caution you to do a great deal of homework before you seriously consider LASIK as an option. If you are currently experiencing dry eye, the likelihood that your condition will worsen after LASIK seems relatively high. A larger percentage of people with DES, have it because of LASIK. Those with DES prior tend to be at risk for more complications. Do searches on the Internet for LASIK and Dry Eye and you'll find many stories of people whose lives have been forever changed.

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2933 · August 27, 2011 at 1:28 AM

have you considered LASIK as option to rid yourself forever of the lenses? I did it 12 years ago - besides going paleo it was possibly the best decision I have ever made.

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3850 · January 10, 2012 at 12:19 AM

A reputable doctor won't do vision correction surgery while you have dry eyes. It changes your vision too much and will make healing more difficult.

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260 · September 10, 2012 at 6:10 PM

I went to my eye doc a few weeks ago for dryness and puffiness in the morning, and she took a look and said it's likely my contacts that caused it, and it was a common thing for this to happen. I asked her if Lasik was an option for my future so I can stop wearing contacts and she says that surgeons do not operate on people who have that particular dryness problem. So I stopped wearing them for about 2 weeks, decided to wear them out for 4 hours yesterday, woke up and my eyes are red. I don't know specifically what your problem is, but all I know is that can't be good, and it's definitely my contacts (this happened to me about 2 years ago and I had to wear glasses for a year).

I'm looking into the Bates Method and correcting my vision naturally. I don't know what that means for you, but hopefully it helped shed some light on the situation. And here is an interesting thread I just came across.

http://paleohacks.com/questions/70117/is-it-possible-to-restore-eyesight-to-normal-20-20-without-lasik-glasses-or-con#axzz265WmmuEP

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0 · October 17, 2011 at 6:39 PM

Look into scleral lenses. They work great for dry eyes and still provide the same quality vision you get from regular RGP lenses. Ask your eye care provider if they fit them.

What you usually feel with an rgp lens is the edge of the lens against the lid. If your eyes/lids are dry you will feel the edge more. Scleral lenses are large and have very little edge awareness.

I fit these regularly on my patients with dry eyes, keratoconus, post transplants, post lasik ectasia etc.. and the results are very positive.

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1472 · September 10, 2012 at 7:03 PM

I was recently fitted for Scleral lens and they are much more comfortable than RGP lens. They too are RPG's but bigger. They sit on the white part of your eye, not the cornea. You fill them with saline solution before putting them in. You actually look thru a thin layer of saline film. They are expensive though. My RGP's were $250 for a pair and Scleral's are a grand a pair.

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15229 · July 30, 2011 at 1:21 AM

malka, my husband had a cornea transplant a few years ago in his left eye, and has to wear RGP lens in his right eye (he has keratoconus). he has very dry eyes, lots of irritation in his non-transplant eye and has a very difficult time getting the lenses in. once its in, it settles down and he is usually ok for a good 8 hours. his doc actually put in some punctal plugs and it made life worth living again. have you ever tried them before? they fall out on their own and its nice if youre looking for a drug-free intervention. i can ask him more about his experience if you have any questions. he is doing great now, and not even taking steroids or anti-rejection drops in the transplant eye with no dryness or irritation.

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