Dry eyes - how bad can they get?

I know I said my next instalment would be continue to be about eye drops but I have to share another dry eye experience. I visit some dry eye forums regularly and recently came across a lady (Mel) who also has dry eyes. When we exchanged stories I felt like I was the lucky one. I thought I would post Mel's story to give you an idea of the different ways dry eye can manifest. In case your wondering I have Mel's permission and Mel isn't her real name :).
Mel has dry eyes caused by meibomian gland blocked by a cyst leading to to recurrent corneal erosion. Below is her description of corneal erosion.
"Corneal erosion is like having someone drive a sharp screwdriver through your eyeball totally unexpectedly in the middle of the night! If you have had damage to the surface of your eye at some point in the past (e.g. a paper cut or, in my case, a cut from the sharp edge of a vicious houseplant leaf) it leaves a weakness in the structure of the cornea. Then when you get dry eye for whatever reason, overnight your eye dries out, your eyelid sticks to it, and when you involuntarily open your eye or move your eyeball in the middle of the night, the eyelid rips the surface of the cornea away from the layer below along the line of the old cut.
It's painful and scary. But I'm dealing with it well now. I put the Lumecare gel in last thing at night and then put on the Tranquileyes goggles, soaked in filtered water. They hold my eyes shut all night. In the morning I put the Lumecare drops into the corner of my eye before I open it and allow the drops to moisturise my eyeball before I open my eye. No pain. And I don't get any symptoms during the day so I'm very lucky. I did see a consultant about having the remains of my meibomian cyst removed which may unblock the gland but I haven't decided whether to risk the operation - I'm a real coward about scalpels and eyes."
A big thanks to Mel for sharing!

Drops for dry eyes

Right now as I'm typing this my eyes are feeling really gritty and sleepy. Entirely self induced as I've taken on some work this week (laptop based) so have therefore been staring at my screen far too much.

At the moment I'm using some eye drops called Vismed. After years of using Celluvisc drops (active ingredient hypromellose) I started experimenting with alternatives a few months ago. I'm so glad I did! I hated using celluvisc, for 2 main reasons, a) the relief from them would only last a couple of minutes and b) they would leave a horrible crust on my eyelashes and skin around my eyes. I know this is bad, but I would only really use them when I was completely desperate (in other words when physically I couldn't keep my eyelids open).

The first alternative eye drops I tried were Hycosan. I was recommended these on my last sight test. I LOVE Hycosan! As soon as I put the drops in my eyes felt soft, cushioned and almost doubled in size! (OK I know the double in size is a bit extreme but you can imagine the difference between tired sleepy looking eyes and bright, vibrant healthy looking eyes!).

After a couple of days on the Hycosan I felt confident enough to wear my daily disposable contact lenses - Johnsons Acuvue Moist. I usually only wear lenses on a special occasion - wedding/party/other special day. For my eyes to feel good enough to wear lenses on a normal day was a big achievement for me. My eyes felt fine with the lenses and at the end of day I was able to take both lenses out easily. In the past one lens used to get stuck to my eyeball. The last time this happened after 10 minutes of trying to get the lens out I panicked and thought I would have to go to A&E, but I continued poking my eye and eventually the lens came out (I swore I would never wear lenses again!).

Anyway, with the Hycosan I wore lenses for two days before my eyes started to feel a little sore again. But at least I now know I can wear lenses comfortably on special occasions.

More on my drops saga next time!

Dry eye tests

Over the years, I've had two main tests done to diagnose my dry eyes (but I would say for me even without these tests I knew my eyes were abnormally dry).
The first test I had was with the yellow dye. This is a fluorescent dye which stains the dry patches on the dye. This enables the ophthalmologist to evaluate the extent of the dryness. I've had this done a few times and can tell you the dye does not sting at all. The only downside was that my eyes were tinged yellow afterwards and perhaps took longer to return to normal because of the dryness and hence the dye clinging to my eyes.
The second test I had done is called the Schirmer test. This involves placing a strip of filter paper in the middle of the lower eye lids for 5 minutes and then assessing the wetness of the filter paper.
I will never forget this test as it turned out be a very embarrassing and funny situation for me. I had gone for a rheumatology appointment and the consultant wanted to examine me. So I stripped down to undergarments, she examined me and then to my surprise asked if some medical students could take a look. I agreed (thinking not to agree would appear stupid). Anyway after being gawped at, the consultant then wanted to test my eyes for dryness. So my glasses came off and in went the strips in my eyes. As all this was very quick, I had to sit on the edge of the couch, without my clothes on, with two bits of paper hanging out of my eyes and all I could see were the blurry faces of the medical students and the consultant!
As I sat there waiting for the longest 5 minutes of my life to be over, all of a sudden the door opens and in bursts another doctor - I was right in front of her! I don't know who was more shocked her or me! She had come into the wrong room! At this point I felt like laughing (as I'm sure did the medical students). Luckily this interruption reminded the consultant that my 5 minutes were up. My ordeal had finally come to an end!

Crying ice and blood...

After all my excitement about setting up my blog I haven't been able to post in the last few days as my little one was unwell. We are over the drama and I can talk about eyes again! I saw two amazing stories in the metro - one about an arctic ice cap which has melted to look like a face crying. I'm very sceptical when I see these types of photos but this one is quite spooky:

http://www.dailymail.co.uk/news/worldnews/article-1210706/Caught-camera-Mother-Nature-cries-river-tears-global-warming-threatens-planet.html


The other story was about the boy who cries tears of blood at random times. I know from experience normal teary eyes can be annoying (yes - you can get tears with dry eyes) but to have blood flowing from your eyes must be horrific.

http://www.youtube.com/watch?v=d0r4ABAqd7M

In terms of my own eyes they are feeling ok at the moment. I have started to work from home again (on laptop), will have to see how that begins to affect my dry eyes.