Getting Stronger: Discussion Forum

Discussion Topics => Rehabilitation => Topic started by: Alex_Myopic on October 26, 2015, 02:54:56 PM

Title: Irritaded eye only at sleep
Post by: Alex_Myopic on October 26, 2015, 02:54:56 PM
In the last two months about two times per week me left eye gets irritated, red and tears come out for about 5-10mins only at sleep and after I have slept about 6 hours. This pain wakes me up. Something like there is a foreign object in my eye like sand but there is nothing in reality.

What could this be? Some sand fell in my eyes by accident some days before this started to happen. Could this be an infection due to injury? A conjunctivitis maybe? My eye has no irritation all day long except that 10 minutes. Also I've noticed my eyelid to stick together
as described in bacterial conjunctivitis but if this is my case can this annoys me only at night?
https://en.wikipedia.org/wiki/Conjunctivitis
" The eyes are usually matted shut after sleeping "  http://www.senderspediatrics.com/health-and-parenting/conjunctivitis-pink-eye-2/

I have also checked for blocked nasolacrimal pore but this happens manly at babies and can swollen the pores. I have checked also for increased intraocular pressure (IOP) but my iris is not pale when this happens (like glaucoma) and can contact and expand during the irritation and I don't see halos although I saw halos for few days about two months ago.
Title: Re: Irritaded eye only at sleep
Post by: User1235 on October 27, 2015, 05:14:11 AM
Dude you should see a doctor.He can check if its sand or infection.It's no harm seeing an eye doctor about this.It is not about myopia so i don't think they will be busy trying to sell you anything(they are not even optometrists).Having a clear idea of what is wrong with your eyes really helps.
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on October 27, 2015, 01:15:32 PM
Thanks for the answer. I'll go to a doctor if it continues for a long time or it goes worse. I think it is a mild bacterial conjunctivitis or conjunctivitis (due to dry cornea).

Some years before I went to an ophthalmologist and told him that there are somethings like semitransparent small worms floating IN the eyes. I didn't know about floaters then. He gave me antibiotic drops for outer use!!! Another doctor told me about floaters.
Title: Re: Irritaded eye only at sleep
Post by: Hillyman on October 28, 2015, 03:47:59 PM
Go see an eye doctor (opthalmologist) now. If it feels like something is in your eye, there probably is something. It can be a very small mote or grain of something, but your eyelid and conjunctiva are sensitive enough to sense it. The irritation is a sure  sign that there is a foreign object. if you don't take are of it, there may be infection and an infected eye is a terrible thing to have.
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on October 30, 2015, 03:07:16 PM
Conjunctivitis can provoke a feeling of foreign object like sand in the eye, even if there isn't. Moreover conjunctivitis due to dry eye can do that as well as high intraocular pressure.  The good think is that I follow now holistic treatment of conjunctivitis with chamomile eye baths and honey water solution and my eye hasn't been irritated for some days now.
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on November 13, 2015, 12:43:33 PM
Although with no symptom for the last week, today it came back again at deep sleep. The pain lasted about 20 minutes, was more intense and gave me glare for the rest day so I went to an ophthalmologist. I had keratitis for two and a half months the doctor said after looking with slit lamp examination.. There wasn't sand in my eye but 75 days ago the little drops of cement with sand that got into my eye scratched and injured the cornea and it got infected. I wore protective goggles  95% of the time when puttying holes in the ceiling but sometimes I was too fast and bad thinking to wear. The cement got off in about 5' put rubbing the eyelid a little or stucking in the eyelid and moving the eyeball just scratched my cornea more. Maybe running water is the best solution to remove the foreign object.
A very characteristic one has with keratitis and conjectivitis is that the eyelids in the morning don't open easily and you might even use your fingers to open them due to much eye gum that the (bacterial) infection can provoke.

I'm now having my eye shut for one day and taking tobramycin eye drops. Keratitis can become dangerous if neglected. Maybe me eye hurt me only at night because it is closed then for many hours and antibacterial natural eye tears don;t flow too much then so the cornea becomes inflamed.

****************************************
Quote
[17.3] What should I do in the case of foreign bodies in the eye?

All eye injuries are potentially serious because particles may perforate the eyball resulting in internal damage and possible infection. Particles of dust or grit or loose eyelashes are the most common foreign bodies found in the eyes. They stick to the outer surface of the eyeball or become lodged under the eyelid, normally the upper lid, causing considerable discomfort and imflamation. In most cases these can be removed. However DO NOT attempt to remove a foreign body if it is on the coloured part of the eye, or embedded in the eyeball. In these cases seek medical aid immediately.

Symptomps and Signs:

+ Casualty's eye is painfull and itches.

+ Casualty's vision may be impaired.

+ Watering of affected eye.

+ Casualty's eye is red.

Aim: Remove particle gently. If unsuccessful, transfer the casualty to hospital.

NOTE: CONTACT LENSES

Many people now wear contact lenses instead of glasses and occasinally these cause extra problems in an an emergency. If conscious, help the casualty to remove them, and place them safely in their container and ensure they remain with the casualty. Never try to remove lenses from a casualty's eye yourself. If a casualty is know to be wearing lenses, report this to the ambulance officer, nurse or doctor attending the incident.

Treatment:

1 Advise the casualty NOT to rub the eye (the casualty will almost certainly be doing so).

2 Ask the casualty to sit in a chair facing the light and lean back.

3 Stand behind the casualty. Hold the chin in one hand and use the index finger and the thumb of your other hand to separate the affected lids. Ask the casualty to look right, left up and down so that you can examine every part of the eye properly.

4 If you can see the foreign body try to wash it out with sterile saline solution. If this is not availlable, irrigate the eye with tap water. Incline the head towards the injured side so that the water will drain out over the cheek away from teh sound eye; pour water from a jug or place the casualties head under a tap.

5 If this is unsuccessful or no water is availlbale and the foreign body is not sticking to the eye, lift the foreing body off using a moistened swab or the damp corner of a clean handkercheif.

6 If the foreign body is under the upper lid, ask the casualy to look down. Grasp the eyelashes and pull the upper lid downwards and outwards over the lower lid. If the lashes of the lower lid do not brush the foreign body off, get the casualty to blink under water in the hope that it will float off.

7 If you cannot remove the foreign body, cover the affected eye with an eye pad or a piece of gauze wrapped around a soft pad of cotton wool. Secure it lightly in place and seek mdeical aid.

If the foreign body is on the coloured part of the eye or is imbedded in or sticking to the eyeball DO NO ATTEMPT TO REMOVE IT. Cover it with an eye pad. Transfer to hospital for treatment.

http://www.i-see.org/vicfaq1.1.html (http://www.i-see.org/vicfaq1.1.html)
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on November 14, 2015, 11:21:39 AM
I googled it why this happened only at sleep and finally found it by chance in a book I had...

Why Abrasions Recur
An occasional complication of a corneal abrasion is a recurrent abrasion,some-
times called a recurrent erosion.This occurs more often when a thin sharp object,
such as a fingernail or a sheet of paper,abrades the eye.A person with a recur-
rent abrasion usually experiences sudden pain,watering,and light sensitivity
on awakening from sleep.Apparently,the epithelial cells in the area where the
abrasion occurred sometimes do not heal properly.During sleep,the eye may
become slightly dry,and the epithelial cells of the cornea may stick to the closed
eyelid.When the lid opens,off come the epithelial cells,and the result is another
abrasion.These recurrent abrasions are treated
the same way as the original abrasions were
treated,but additional techniques must often
be used to keep them from recurring. For
example,lubricating eye ointment can be instilled in the eye at bedtime for a
period of time.Sometimes a thin contact lens called a bandage lensis placed on
the eye and left in place for at least several weeks.It keeps the inside of the eye-
lid from coming into contact with the cornea and may allow better healing to
take place.Finally,more invasive methods,such as laser treatments or pricking
the surface of the cornea in multiple places with a needle,may be necessary.

From the book "The eye care sourcebook".
Title: Re: Irritaded eye only at sleep
Post by: strongmama on November 17, 2015, 05:27:08 AM
Thanks for the update and info. Hope you heal well soon!
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on November 18, 2015, 02:45:58 PM
The ophthalmologist after talking about this gave me Corneregel (Dexpanthenol) for better and faster wound healing and moisturizing. This is taken before sleep. There are also more natural eye tears with euphrasia for keratitis, conjuctivitis and just moisturizing.
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on December 10, 2015, 03:07:12 PM
All the symptoms I had described previously without knowing the disease here in the following paragraph. Even my difficulty opening my eyelid which looked like infection but without tears like mucus.

"History

In its early stages, the condition may be asymptomatic. Later, there may be recurrent attacks of acute pain (typically towards the end of sleep or on waking) associated with lacrimation, photophobia and a foreign body sensation. There may be an associated blepharospasm (inability to open the lids) and blurring of the vision. Some patients report glare and halos around lights (this occurs if corneal oedema develops). The problem may be unilateral or bilateral. Symptoms may gradually subside over the course of the day and then start all over again the next morning. The unpredictability of these episodes may lead to an associated anxiety."

"Prevention

Prophylaxis revolves around long-term lubrication in the first instance, eg night-time lubricating ointment for three months.[7] The success of this approach depends on the patient understanding the importance of continuing this treatment in the absence of symptoms. More severe cases may require a protective bandage contact lens. There is evidence to suggest that a 12-week course of systemic tetracyclines (eg oxytetracycline 250 mg bd) may be beneficial (they inhibit matrix metalloproteinase activity and promote epithelial stability).[3] Other preventative measures include:[2]

    Avoiding dry/irritating environments (eg cigarette smoke).
    Wearing protective glasses, especially where exposure might risk abrasion (eg gardening, painting).
    Keeping well hydrated.
    Avoid rubbing the eyes
    Applying long-lasting lubricating ointments last thing at night.
    Avoiding sleeping in late.
    Learning to wake with eyes closed and still (and having lubricant within reach by the bedside)."


I didn't have another episode of this pain since lubricating my eye at night. But four days after starting therapy and weeks later my vision from this eye has become blurry all day long. I searched and found that " the basal epithelial cells require at least 8 to 12 weeks to regenerate or repair the epithelial basement membrane" so maybe I have now reached the medium or final stage of scar cleaning and might not be permanent. I am anxious about this complication though.

Recurrent Corneal Erosion Syndrome (RCES)
http://patient.info/doctor/recurrent-corneal-erosion-syndrome (http://patient.info/doctor/recurrent-corneal-erosion-syndrome)

The doctor patched my eye for 24 hours and in the above link it says it is bad for this syndrome to patch!


Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on December 14, 2015, 04:36:21 AM
"Over a year you should start to feel a lot better, and have very little problem then."
http://www.goodhopeeyeclinic.org.uk/recurrentabrasion.htm (http://www.goodhopeeyeclinic.org.uk/recurrentabrasion.htm)

ONE YEAR to heal and see better if you have that syndrome,  for God's sake! A wound that is so small that you may not see it with bare eyes. Even using eye lubricants at night the epithelial cells of the wound might slip and slide.
Two or three weeks of using corneregel (recommended by the doctor) with dexpanthenol for moisturizing and quicker healing and I had two instances of wound tearing.
Two and a half weeks of using "Collyre" from A.Vogel with hyaluronic acid, euphrasia and no preservatives and had zero instances of recurrent abrasion. I use more than one drop per night because I use it at night even when I wake up to go to the bathroom.
Now I use the first one in the morning and the second at night.
Title: Re: Irritaded eye only at sleep
Post by: User1235 on December 17, 2015, 08:30:08 PM
I have been experiencing dry eyes while asleep.This does not happen when i move my eyes or blink but when both my eyeballs and eyelids are static(sleeping). I wake up in the morning to discover that my eyes feel very dry. Moving my eyeballs or blinking will usually gets rid of the dryness.Any idea what happened?
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on December 20, 2015, 06:02:18 AM
@User1235

It is usually said for RCE (Recurrent Corneal Erosion) and healthy people that during sleep the eyes can become more dry. Also at sleep the eyes don't move a lot and we don't blink  so the lipid layer and moisture from the eyelids doesn't go all over the place. Some cannot close the eyelid completely at sleep so the eye dries. There are eyedrops using the just before sleep but I will mention some supplements also that can help.


Some other point I would like to mention is to go to a second doctor and have a second or third... examination if your condition dont't improve or there is deterioration or the doctor doesn't even hear at you. I had to go to the hospital ED because of another big episode of pain and the eye doctor confirmed my RCE and started real therapy for this condition. The first one just told me I had keratitis and bacterial infection although I wasn't infected. I had told him about RCE and he didn't even listen. With time I got worse but now my opaque or swollen cornea is now ok and I see fine. The real doctor had to scrape off my epithelium tisue in the cornea in order stronger one to come back. I wear now  bandage contact lens to help the wound heal.

This woman was also mistreated for viral keratitis instead of RCE:
 " in my case an opthamologist treated me for an eye ulcer 3 months ago- diagnosing it as having been caused by herpes. In my case this was not a proper diagnosis - the ulcer had an octopus like presentation that was misinterpreted. I was treated with anti-viral drops (Trifluoridine) and anti-microbial and a horse pill of Acyclovir ( I believe none of this was helpful). Actually the anti-viral drops might even have been toxic to my RCE condition. Fast forward to this month October 2015 - a third opthamologist appt two weeks ago (a corneal specialist) diagnosed my RCE condition and gave me a bandage contact lens."

https://www.youtube.com/watch?v=MQgv4EbzgTU (https://www.youtube.com/watch?v=MQgv4EbzgTU)

For God's sake there are "doctors" and real doctors out there...

This guy finds like me hyalouronic acid (drops) as No1 help for this syndrome and dry eyes. I guess the other ingredients are very helpfull too. Gollagen is crucial at trauma healing.

 John Tokarski
Have you tried supplements?
This might help.
1. Hyaluronic Acid
2. Aloe Vera Juice
3. Coconut Water
4. Coconut Oil
5. Borage Oil
6. Flaxseed Oil
All these may help with eye moisture.
And
7. Collagen might help rebuild the Epithelium.

https://www.youtube.com/watch?v=MQgv4EbzgTU


"Other medications and nutrition. Other medications, including steroid eyedrops, can be used for short periods of time as an adjunct to other long-term measures. There is growing evidence that increasing the oral intake of fish oil and omega-3 via diet or supplement is very helpful to those suffering with dry eye."


"Coconut oil. As in: I put it in my eyes every night before sleep (instead of those stupid, expensive eye drops/gels/ointments.) I have had zero issues with any sort of infection, and when I wake up, I don't have to rummage around for my eye drops before I can open my eyes. (As an aside, it has done wonderful things for the skin around my eyes, as well...very soft and supple.)"

"PLEASE READ SOME COCONUT OILS ARE UNSAFE TO PUT IN YOUR EYES
Coconut has amazing healing properties and it antiviral, antibacterial and antifungal. However, please be careful some products have coconut oils that contain fungal toxins, IF they are made from copras, or dried coconuts, which are often contaminated with mycotoxins. you do not want this in your eyes! So call the company and simply ask them it they use only fresh coconuts to make their oil. I think the best type of Coconut oil is cold pressed organic version "

"My eye doctor told me to take flaxseed oil for dry eyes, and it has helped me!"

https://www.paleohacks.com/eyes/anyone-else-suffer-from-extremely-dry-eyes-during-sleep-2271
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on December 20, 2015, 04:10:20 PM
"Note that they're patently wrong about artificial tears.  Those things are the devil.  Unless you want a whole new dependency on yet another product that replaces the body's natural function with a commercial product, don't use artificial tear products."

http://endmyopia.org/qa-why-do-tears-make-me-see-more-clearly/

http://endmyopia.org/how-to-preventing-dry-eyes/

http://endmyopia.org/eye-drop-warning-avoid-benzalkonium-chloride/
Title: Re: Irritaded eye only at sleep
Post by: User1235 on December 20, 2015, 06:30:35 PM
Thanks man I guess it's normal for the eyes to feel dry at sleep.It isn't that much of a problem so i guess i will leave it and see how it goes.
Title: Re: Irritaded eye only at sleep
Post by: strongmama on December 22, 2015, 05:56:54 AM
Wow, Alex, you have been through a lot! I'm glad you did your research and found some decent doctors. I really feel your pain there, I know personally how hard it is to find good doctors.

In answer to the dry eyes, have you considered blepharitis? I didn't have any symptoms other than a little dry and itchy some mornings, which I thought was normal, but I've always had dandruff so it makes sense that my eyelashes might have it, too. I've been using Blephadex soap which I bought on Amazon. It has tea tree oil and maybe some coconut, and it has definitely helped.
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on December 23, 2015, 06:33:18 AM
Hi strongmama,
I don't have Red/swollen eyelids, red eyes generally, crusting at the eyelid margins/base of the eyelashes/medial canthus, generally worse on waking, eyelid itching, flaking of skin on eyelids, eyelash loss, infection of the eyelash follicle/sebaceous gland some symptoms for blepharitis written here:
https://en.wikipedia.org/wiki/Blepharitis (https://en.wikipedia.org/wiki/Blepharitis)

Although even in my condition it is good to have my eyelid margins cleard with a wet cotton bud as written here
http://www.goodhopeeyeclinic.org.uk/recurrentabrasion.htm (http://www.goodhopeeyeclinic.org.uk/recurrentabrasion.htm)

********
Sometimes a lot of tears might come off unexpectedly. The lipid film may crack so the water film can evaporate. So nerves feel dry and can respond with a lot of watery tears but this doesn't solve the problem. So sudden burts of tear might be sign of dry eyes. The lipid layer of tears produced by inner eyelids also holds the water film in place and this way tears don't come out. Also protect the water film from evaporation. 

I sometimes feel my inner upper eyelid dry and painfull.

And something funny!
https://www.youtube.com/watch?v=Rtp8wza6Uc8
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on December 23, 2015, 06:37:18 AM
@User1235

There are some more natural help than eyedrops mentioned in my links for endmyopia like  open windows, or a humidifier, stay hydrated, and from other links flaxseed and coconut oil...
Title: Re: Irritaded eye only at sleep
Post by: User1235 on December 23, 2015, 07:00:07 AM
Thanks man but lately i have been feeling a better i guess it is just the less humid weather.If the problem worsens i will try the coconut oil but for now whenever i feel it's a little dry washing my face is all i need
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on December 27, 2015, 05:25:38 AM
From the book "Relearning to see":

Herbs can help detoxify and restore balance to the body. The acupuncturist just mentioned said the
herb Ming Mu Ti Huang Wan has been used by many Eastern healers to nourish "yin-defi-
cient" liver and kidneys and to improve eye­ sight. Benefits reported by others include increased lacrimation (tearing) for dry eyes and reduction of sensitivity to bright light

***************

ARTIFICIAL TEARS—HELPFUL OR HARMFUL?
Moist, protective tear layers are essential for
the health of the eyes. However, one might
question whether artificial tears are a help or
detriment if used on a long-term basis. Does
the continuous use of artificial tears suppress
the normal production of natural tears, thus
creating more of a dependence on the arti-
ficial tears? Are the artificial tears truly an
adequate replacement for natural tears?
Artificial tears may be needed for a short
time in acute problems Again, consult with
your eye doctor for any serious eye problems

****

DRY EYE  SYNDROME
Insufficient tearing from the lacrimal glands,
overly rapid evaporation due to wind, or
excessive heat can create dryness in eyes. This
can result in a burning sensation, oversensi-
tivity to light (photophobia), mucous dis­
charge, corneal changes, and impairment of
vision.
Many people have dry eyes due to not
blinking frequently enough. Some estimate
over six million Americans have chronically
dry eyes. Many natural vision students have
eliminated dry eyes by simply relearning cor­
rect blinking. Many have also lowered their
sensitivity to bright light, and have been able
to discard their sunglasses completely. They
now feel relaxed in sunlight by simply blink­
ing softly and frequently.
In strong wind or dry weather situations,
it is important to blink more frequently to
prevent the eyes from drying out due to rapid
evaporation of tears.
Dry eyes can also be caused by undesir­
able effects 1 from medication or diseases.
Consult with your eye doctor if you have
serious eye problems.

____

With close reading and computer use we tend to blink less often.
Title: Re: Irritaded eye only at sleep
Post by: strongmama on December 28, 2015, 06:03:34 AM
Another dry eye remedy I just discovered: Manuka honey!
I've been a little irritated lately, so I was surfing around and found this idea on earthclinic.com from several users. I tried rubbing a little across my eyelashes with eyes closed before bed last night, since I already had bought some (been trying it on my husband's eczema). No sting and I woke up fine, no dryness or itchiness!
Title: Re: Irritaded eye only at sleep
Post by: Hillyman on December 29, 2015, 10:13:25 PM
Just another thought: try drinking a full glass of water before going to bed (go pee before going to bed to make the most room in the bladder during the night). Dry eyes may just be your body not being well hydrated.
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on December 31, 2015, 11:39:02 AM
The ophthalmologist prescribed me SALZ eyedrops from Penta Arzneimittel. I must use them for six months before sleep to decrease the chances of recurrent corneal erosion. These eye drops contain sodium chloride 5% and can also reduce corneal edema with osmotic pressure. Corneal edema was the cause that I was complaining about blurry and halos for a month after hard corneal erosion incidents. These drops do not contain Benzalkonium Chloride or a preservative at all.

http://endmyopia.org/eye-drop-warning-avoid-benzalkonium-chloride/
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on January 23, 2016, 06:07:21 AM
I' ve tried Ming Mu Ti Huang Wan herb as Thomas Quackenbush written for dry eyes and saw a big difference. I saw myself in the mirror and noticed that my eyes were very shiny and reflected a lot of light due to good lubrication. That was after just 5-6 days of use. I particularly use the following pills (one in the morning and one at night with food) which contains some other herbs too.

http://www.ebay.com/itm/251660376135 (http://www.ebay.com/itm/251660376135)
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on February 23, 2016, 01:42:40 AM
Ozon gas or ozonized water can dissinfect without side effects and residues. It is used as an alternative of water chlorination in Moscow and some other cities and pools. But there are studies that show it can promote faster and better wound healing and epithelial growth.

http://www.triroc.com/sunnen/topics/ozonemed.htm (http://www.triroc.com/sunnen/topics/ozonemed.htm)
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on February 23, 2016, 01:51:33 AM
I'm not sure if it was 100% the doctor's epithelial scratching and drops but now and don't suffer from RCE or corneal edema. But the day before doing this epithelial removal my vision can already been restored. I have written others also comments that say that they have RCE instances after this scratching but the pain, redness and duration is not even as 1/10 of that before the scratching. Me too I can two more instances of RCE but I have hardly even noticed them. My eye didn't even became red!

The bad thing is that RCE from injury usually and not from pathological dry eyes lasts usually one year so the two days big pain and eye swelling after the doctor's scratching is about equivalent two the 15-20 minutes instances of pain during one year.
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on June 03, 2016, 12:11:49 PM
Five months after my corneal epithelial removal the wound has healed and the RCE came back again. But it is a bit less painful now but still having polyopia the days after RCE episodes. I went through this painful ophthalmologist's procedure and still not cured! Something like the boxer who his coach brakes his nose for the first time in order not to bleed and be in pain the following times he will be hit in the nose.
Title: Re: Irritaded eye only at sleep
Post by: OtisBrown on July 06, 2016, 09:08:52 AM
Hi Alex - Sounds like good progress to date.
Otis
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on June 10, 2017, 01:17:51 AM
I have tried cold pressed castor oil in order to heal my eye floaters but the second day of using it my RCE went extremely worse even when I was not at sleep. The oily substances can prevent underneath moisture from evaporating it might even penetrate the epithelium and prevent it from sticking to the Bowman's membrane. Closed eyelids at sleep can also slow down water evaporation on eyes. So when almost everybody advices to moisture eyes before sleep in order for the epithelium not to stick on eyelids and erode, too much moisture under the epithelium and over the Bowman's membrane where it attaches can make the things extremely worse. Maybe that's why the oily ointment the doctor gave me 1,5 years ago in order to make healing faster, it actually made my RCE worse! Here is a very interesting analysis:

Quote
I had RCEs, due to a corneal dystrophy, about six years ago. They lasted for about nine months. I went to seven doctors before being put on a a program that worked. This site used to sell an eye drop, called Dwelle, that I think healed my corneas. (I have the dystrophy and RCEs in both eyes.) Today, I maintain my condition with an eye drop, called Muro 128 5%. What these drops do in their own ways is draw moisture out of the basement membrane so that the uppermost layer of the cornea can adhere properly to it. RCEs are basically like little blisters. As we know, blisters make the skin on top weak. When the "blisters" are stuck to something, like an eyelid, they tear off and cause that tell-tale pain of an erosion.

http://www.dryeyezone.com/talk/forum/dry-eye-talk-discussion-and-q-a/introduce-yourself/19760-recurrent-corneal-erosion (http://www.dryeyezone.com/talk/forum/dry-eye-talk-discussion-and-q-a/introduce-yourself/19760-recurrent-corneal-erosion)

Salz 5% is also a Sodium chloride 5% - (Hypertonicity agent) like Muro that I have been using and prevented very good corneal oedema and RCEs.
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on July 14, 2017, 02:27:34 PM
Another guy reporting of having permanent better visual acuity after RCE!
 
" However, there is one possible 'side effect' which I read about and has since happened to me, and that is that my vision is actually slightly BETTER in my previously-affected eye to which I now apply Muro 128 ointment than in my non-affected eye. It is slight, but definitely noticeable. My doctor didn't believe me until he had me read the eye charts from across the room with each eye separately, and I was able to read an entire additional line of letters with my affected eye!"

http://www.dryeyezone.com/talk/forum/archive-disease-topics-related/recurrent-corneal-erosions-rces-and-corneal-dystrophies/4986-recurrent-corneal-erosion-sufferer/page4 (http://www.dryeyezone.com/talk/forum/archive-disease-topics-related/recurrent-corneal-erosions-rces-and-corneal-dystrophies/4986-recurrent-corneal-erosion-sufferer/page4)
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on October 03, 2017, 12:49:53 AM
Useful information from JimBoston:

"Hyperosmotic agents are also routinely used in RCE. During sleep there is a relative hypotonicity of the tear  lt's as a result of decreased tear  fluid evaporation. The reduced tear osmolarity at night will cause a shift of water from the tear  film into the cornea, resulting in a relative corneal epithelial edema and decreased epithelial adhesion. Hypertonic (5%) sodium chloride, either drops or ointment, will promote epithelial adherence by increasing the tear osmolarity, thereby, decreasing epithelial edema and promoting epithelial adherence. These agents should be continued for a few months after the last attack, as it takes a few months for the adhesion complexes to build up."

textbook Ocular Surface Disease: Cornea, Conjunctiva and Tear Film (2013), chapter 26, Corneal Epithelial Adhesion Disorders
Title: Re: Irritaded eye only at sleep
Post by: Alex_Myopic on October 31, 2017, 02:40:51 PM
Unlike me for some people their RCE is provoked by dry eyes due to tears evaporation due to bad lip layer in the tear film. Then some people with this condition find that 5% salty water is not the solution for them. But here are some helful informations for them:

http://www.dw.com/en/bloodshot-eyes-whats-behind-them/av-38403701 (http://www.dw.com/en/bloodshot-eyes-whats-behind-them/av-38403701)

"Clogged glands are the number one contributor to severe evaporative dry eye (MGD). The larger XL uses gel packs 30% larger than tranquileyes®, allowing for an extended compress duration, required for severe MGD. Use tranquileyes xl® for immediate and long-term relief from severe dry eye, MGD or blepharitis."

https://www.eyeeco.com/tranquileyes-xl-sup-sup-with-beads-xl-for-severe-dry-eye-relief-blue.html

https://www.eyeeco.com/tranquileyes-moist-heatcold-therapy-goggles.html

" have been getting RCEs for years but they are much better controlled since I saw my NHS consultant.

I have a tear film that breaks up very quickly especially at night so my eyelids stick to my corneas and cause erosions when I go into REM or wake up. (If you have a different cause this treatment may not be enough for you.) I was getting two or three a night before I was treated but I do not get infections.

Surprisingly he said to use celluvisc during the DAY and, surprisingly, that alone helped a bit. Punctal plugs, though, were painful and had to be removed.

I now use celluvisc every hour or so during the day, more as it gets near bedtime. I do a heat treatment with tranquileyes and celluvisc before bed as it seems to hydrate my eyes nicely. I then use a line of lacrliube then a squeeze of viscotears into the corner of my eyes, neither doing any good on their own. I wear tranquileyes all night but I have to replace the lacrilube and viscotears combo two or three times during the night.

When I wake up, I gently move my eyelids so they are not stuck down.

This regime has made a great difference to me, I have gone weeks without an erosion but they are not gone completely and there is no pattern to when they recur.

I noticed that getting anything in my eyes would cause an erosion that night so I wear padded biker glasses outside and clear ones indoors if I am doing anything that could be dusty.

In the morning, I wipe down my eye margins with a hypoallergenic eye makeup remover pad using a different part for top and bottom of each eye.

I hope you find something to help

R "

http://www.dryeyezone.com/talk/forum/dry-eye-talk-discussion-and-q-a/open-forum-patients-pros/16643-how-to-stop-recurrent-corneal-erosions (http://www.dryeyezone.com/talk/forum/dry-eye-talk-discussion-and-q-a/open-forum-patients-pros/16643-how-to-stop-recurrent-corneal-erosions)