Irritaded eye only at sleep

[Alex_Myopic]

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.

[User1235]

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.

[Alex_Myopic]

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.

[Hillyman]

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.

[Alex_Myopic]

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.

[Alex_Myopic]

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.

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

[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

[Alex_Myopic]

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".

[strongmama]

Thanks for the update and info. Hope you heal well soon!

[Alex_Myopic]

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.

[Alex_Myopic]

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

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

[Alex_Myopic]

"Over a year you should start to feel a lot better, and have very little problem then."
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.

[User1235]

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?

[Alex_Myopic]

@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

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

[Alex_Myopic]

"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/

[User1235]

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.