Well, I wanted to share what seems to be (in process) a successful alternative approach to persistent dry eyes.
I had Lasik in December of 07; my recovery was perfect, my temporary dry eyes were completely healed by three months post-op (tear function is disrupted by the surgical process, the majority of patients regain normal tear function by 6 months at the most, but a proportion of patients have long-term dry eye problems). So far, so good, except that they overcorrected me slightly, so I went from VERY near-sighted to slightly far-sighted, and that was a strain. So I finally got up the gumption to go for touch-up surgery in June of 08; my eyesight is now perfect, but the post-op dry eyes have never healed. So for almost a year, I’ve had dry eyes, and been very reliant upon artificial tear eyedrops. Tho’ I signed a statement that I knew ‘permanent’ dry eyes were a potential risk, I was very optimistic after the first surgery that I wouldn’t have a problem after the second.
The dryness had been frustrating me, as had the redness & irritation. I keep thinking things would eventually correct themselves but they hadn’t. At my last regular post-op check-up in December, the new optometrist (new to the practice, and new to me) said something about ‘Meibomian Gland Dysfunction’ – the meibomian gland is inside the eyelid and secretes the oily layer of the tears, which keeps the watery portion of the tears from evaporating. (good link here: http://www.dryeyezone.com/encyclopedia/mgd.html)
Ah-ha! At least that tells me what the problem is. Her suggestion: eyelid scrubs and keep using the eyedrops. I tried mild scrubbing with a soft cloth, and that did nothing to help the dryness or irritation. Why oh why didn’t I do more research before? I don’t know. Further research has since taught me that eyelid scrubs are not known to be useful for meibomian gland dysfunction-caused dry eye. And why oh why do I listen to doctors at all anymore? Again, I don’t know. But what happened was … I took her suggestion a bit more seriously in recent weeks, and invested in some pre-soaked eyelid scrub cloths (the kind the eye doctor recommends). They didn’t help the dryness, and over the course of about two weeks made my eyes and the whole eye area drier – AND my eyes became more red, more irritated, and got to an unbearable level last week. By Thursday, I could barely open my eyes without pain, it felt as though there was NOTHING left protecting my eye surface, and I was very concerned that my eyes might be damaged – my eyes were totally red, lids were inflamed. I wasn’t sure if it was the eyelid wash, general allergies (I was a bit sniffly that day), or just a random worsening of the dry eye problem. I had stopped the scrubs a day or so before, when my eyes started to feel notably more uncomfortable.
A week or more previously, I had begun listening a bit more closely to my intuition regarding my dry eyes, and had been researching alternative approaches to the problem – I was thinking about the folk remedy use of castor oil for eye health, and I’d looked into that a bit more closely (as well as I could, given the nature of the internet & needing to separate fantasy from reality on the web). I’d ordered a couple of items from Garden of Wisdom, and had asked Markey (the owner) to include a special order item for me: cold-pressed castor oil in one of the little .25 oz. dropper (sample) bottles. In a fit of irony, it arrived the same day I reached the point of unbearability – I thought I might be dealing with some serious eye damage by then. I called my eye doc and set up an appointment for the following Monday, so I had four days to deal with things on my own, and see what happened.
Here’s something: even the eye doctor I saw confirmed that usually ‘the approach we use doesn’t help that much’. Dry eyes stay dry, and we just keep putting drops in them. Oy. I was reading case after case on the web where patients with dry eyes went from doctor suggestion to doctor suggestion, prescription to prescription, and at best they just maintained a state of relative comfort with regular application of artificial tears, but no cure & no real relief. I’m pretty sick of that already, and being at a point where I was tired of dealing with the ‘usual’ approach, I was willing to try something less ‘chemical’ and more likely to actually work. I went back to intuition, simplicity, and folk remedies.
I had settled on warm compresses, castor oil, and – potentially – colloidal silver.
Since we have to separate fact from fiction on the ‘net, especially with alternative health suggestions from random website visitors & owners, I’ve learned to listen to my intuition – and it usually steers me the right direction. But I share this while also saying: This is MY experience, this was MY intuition I was listening to, these are MY eyes I’m testing this theory on. Your mileage may vary, and I am not a medical professional.
What I’ve done, and the current state of affairs:
I had already begun using warm compresses on my eyes a day or so before (Monday or Tuesday). The idea behind that is the warmth liquifies the oily secretions from the meibomian glands, helping to unblock the glands and release the secretions onto the surface of the eye. On its own, over a couple of days, I hadn’t seen improvement. The castor oil arrived on Thursday, as I said, and that evening I put one drop of castor oil in each eye, closed my eyes for a minute or so, then applied a warm compress. I used the warm cloth to gently wipe away any excess oil around my eyes. I ended up with a light layer of oil around the rim of my eye that I left alone.
Here is what I was theorizing with the castor oil – when used in the Oil Cleansing Method, we guess that the castor oil is helping to both draw the oil out of the pores AND altering its structure so that it can be more easily removed. Castor oil also has some anti-inflammatory & anti-bacterial qualities. There may be other things going on, but it’s mostly theoretical anyway, so whatever it is, I assume it’s good.
Anyway, I was thinking the drawing & structure altering qualities would work in my favor with the meibomian gland oils that seemed to be blocked. The warm compress would also, theoretically, help that. The anti-inflammatory quality of the oil would hopefully work its magic in and around my eyes.
I have read some folks who swear by putting the oil directly IN their eyes, and others who insist that should NEVER be done. I went with my gut, and put a drop directly in each eye. At first, I experienced some burning of the eyes for a minute or so (just after putting the oil in), but even that went away after the first couple of days as the dryness and irritation reduced. The oil seemed to offer a temporary oil layer that did what the meibomian gland secretions are supposed to do. My eyes get really dry overnight, especially, and the castor oil only slightly reduced that – but during the day, I noticed a real improvement. I also noticed that when they felt a little dry, and I would put in the artificial tears drops, my eyes got even DRIER. Another ‘aha’ moment. I’ve been avoiding eyedrops ever since.
On Sunday, I stopped by the natural foods store to pick up colloidal silver in a spritzer bottle.
Now, that’s a topic you could spend some time researching, but I’ll give the short version: colloidal silver is – literally – ’small particles of silver suspended in pure water’. Unfortunately, most bottles labeled ‘colloidal silver’ are not truly 100% colloidal silver, but are instead ionic silver or mostly ionic silver with a small amount of true colloidal silver. There’s all kinds of controversy about it, but what is not controversial is that silver is antibiotic, and products containing silver have been used in the eye for ages. The controversy surrounds the quality of the product and whether products labeled as colloidal ARE colloidal, or ionic, or silver protein, or yada yada yada. There’s some good independent research info here http://www.silver-colloids.com/Reports/reports.html & I’ve determined that the colloidal silver I have is about 10% actual colloidal silver with the rest ionic silver solution.
The only real problem with an ionic silver product is that, when ingested, the ionic silver combines with chloride in the body to form silver chloride, a salt which doesn’t have the antibiotic effect of silver, but is usually excreted as waste with few or no side effects. But it can build up in the tissues if used in very very very high quantities & in that situation may cause permanent skin discoloration (argyria) – but this problem is MORE likely to occur with very very low quality silver products that are silver proteins in water, not true colloidal silver. Colloidal silver labeled products are not regulated, so it’s very difficult to know what you’re getting, hence the random paranoia you see out there. Anyway, the brand I got is about 10% actual silver colloids with the rest as ionic silver, which is fine for my needs – topical application only, small amounts, not planning to use long-term, no opportunity to convert in large quantity to silver chloride. Still with me so far?
I continued to apply the castor oil drops in my eyes, plus a warm compress two to three times a day (first thing AM, midday, last thing before bed PM), and added spritzes of colloidal silver after (yes, directly on my eyes/closed eyelids). I did this Sunday afternoon & Sunday night (the spritz of silver colloid solution immediately reduced the feeling of irritation, and I saw further improvement in redness), then Monday AM & just before leaving for my eye appointment. The air conditioning in the office dried my eyes a bit, but aside from that, they felt about as good as they had a few months back (before they started drying worse from allergies & eyelid scrubs). At this point, I was pretty convinced that I was on the right track, so I really just wanted to know how my eyes looked to the doctor. She told me they actually looked a bit better than the last time she’d seen me! The cornea surface was fine (no damage from the painful dryness of the previous week), and she described my eyes as ‘a little inflamed, but not too bad’. They looked far less red to me than they had in previous days. She prescribed & provided a bottle of steroid eyedrops (“to relieve the irritation”) which I have yet to open.
I warned her that I’m that kind of patient they warn you about – the ‘usual things’ don’t usually work for me, and I tend to have sensitivities & reactions to medications. I asked if she had alternatives to the steroid drops, or suggestions. She had none. She acknowledged that in high use over a long term they are bad (they raise eye pressure and cause glaucoma!), but didn’t have any ideas. She didn’t seem to notice when I said I’d been applying castor oil to my eyes & that it had helped. And she shared that she’d ‘just come back from a seminar on dry eyes & this is what they say we should start with’, then described the rest of the ‘usual course’ of treatment for dry eyes that ‘they’ told her to use (when I pushed ever so gently on what kind of results they see, she also acknowledged this program doesn’t seem to work for a large number of patients). Alas. They were the same scrips I’d already read up on, and determined the same thing – they don’t work for a lot of people, who just continue to suffer for months & years.
****It’s now Wednesday, about a week from the worst point of discomfort and a week into my own dry eye treatment. I am very satisfied with my progress so far. The redness around my eyes is minimal to barely noticeable, and the area no longer seems ‘inflamed’ or swollen. The feeling of irritation IN my eyes is rare & barely noticeable. The feeling of dry eyes has been greatly reduced. I can see a decent tear layer on & in my eyes. How much of this is my own tear function improving, and how much is the castor oil in my eyes, I don’t know. I do not use artificial tear eyedrops during the day anymore, and my eye comfort seems to maintain. Overnight, my eyes are still drying out – by morning, it’s a bit uncomfortable until I do my routine. I think when I reach the point where my eyes are NOT uncomfortable when I first wake up, I will consider that a serious victory.
The current routine (AM, PM, occasionally mid-day): warm water splash on closed eyes, castor oil drop in each eye, warm compress, gently remove excess oil around eye with damp compress cloth, gentle wipe same warm cloth along closed lashline, blink a bit, spritz colloidal silver solution on eyes a couple of times. My eyes feel pretty good after this.
As usual, I’ve been super detailed, but that’s purposeful.
I think the details are important here. Since I realize my style of writing can be a bit too much at times, I might follow up later with a LESS detailed post.
Please note: my eyes were relatively healthy before the inflammation of last week; except for the meibomian gland problem (and the resulting dryness), overall everything was fine (tho’ irritated from dryness & occasional allergies). I’ve had regular eye checks over the past 18 months (part of the Lasik care). And again, these are MY eyes, and it’s my choice to go against doctor’s orders (I’m not using the prescription eyedrops), and it’s my choice to take an alternative approach to treatment. I would never push anyone else to do this, but I think it’s good to know there are other options when the ‘usual stuff’ isn’t working. I do think this serious dryness & inflammation problem was at least partly from a reaction to the eyelid scrub, but I would have been trying this approach anyway, so luckily no harm done.
PS – my follow-up with the eye doc is in two weeks (well, two weeks from the Monday appointment).