Author Topic: Irritaded eye only at sleep  (Read 4826 times)

Offline Alex_Myopic

  • Sr. Member
  • ****
  • Posts: 424
Re: Irritaded eye only at sleep
« Reply #30 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

Offline Alex_Myopic

  • Sr. Member
  • ****
  • Posts: 424
Re: Irritaded eye only at sleep
« Reply #31 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

"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