Dr. Shachi Dwivedi
Ophthalmology (Eye Care)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I had a chemical injury to my eye, which got resolved with steroid treatment. The doctor said to put ointment in every night. I got new glasses last week, and he said that it was like taking paint off a door. I have taken a film off my eye. He said I would need to put drops for a lifetime. My understanding was that my eye had resolved and would heal in time. Please give your opinion.
Hello,
Welcome to icliniq.com.
What happens in chemical injury is that the acid or alkali penetrates deep into the eye's tissue, reaching to the lens and angle of the eye at times as well. Since your vision has resolved, there is least likely that a deep penetration has occurred. Nevertheless, there is a covering over the eye that is the tear film and numerous glands on the surface that produce the tear film layers. These often get disrupted during a chemical injury beyond repair. And for these, we need to put artificial tears or lubricating drops for a long period. Sometimes for scarred tissue, steroids are given for over six months to lessen the scar.
I hope this clears your doubt.
Patient's Query
Hello doctor,
I have noticed that I do not have the same clarity of vision when I am reading. Is this an issue with dry eyes? I put the Hylo Forte regularly into my eyes. I am worried about my vision now, which has never happened to me before. I also notice a slight difference or irritation, and I need to close my eyes for a second to alleviate it. Please guide me.
Hello,
Welcome back to icliniq.com.
This is definitely due to dry eyes. I suggest you kindly start the following medications. Take a tablet of Doxycycline 100 mg twice a day, and a tablet of vitamin C 400 mg three times a day. Apply eye ointment Genteal gel (Carboxymethylcell-hypromellose) three times a day. Continue with Hylo Forte (sodium hyaluronate). Do warm compresses over the eyelid for five minutes twice a day. This will take time to heal. Dry eyes take months to settle.
I hope this was helpful.
Patient's Query
Hello doctor,
So my eye should settle, and I will be able to read normally again? Please give your opinion.
Hello,
Welcome back to icliniq.com.
Yes, it takes time for the tear film and glands to replenish post chemical injury. Once the glands and tear film get back to normal, you will be relieved. You take these medications for 15 days and let me know.
Patient's Query
Hello doctor,
Is it necessary to take Doxycycline? I will continue with eye drops. Is there a difference between Hylo dual and Genteal gel? I am taking Hylo night also. Do I have to take vitamin C 400 mg three times per day? Please guide me.
Hello,
Welcome back to icliniq.com.
Yes, Doxycycline will help collagen remodulation in the cornea and surrounding tissue, which gets damaged in chemical injury. Hylo drops are plain Sodium Hyaluronate which compensates only the lipid layer. Genteal gel is Carboxymethylcell-hypromellose. It not only works on lipid but also aqueous layer and helps in replenishment of corneal surface. It has great results, so I do recommend it. Take Hylo drops six times a day. Not just at night. I hope this was helpful.
Patient's Query
Hello doctor,
I will do it.
Hello,
Welcome back to icliniq.com.
How is your health condition now?
Patient's Query
Hello doctor,
It is improving.
Hello,
Welcome back to icliniq.com.
Kindly upload a picture of your eyes. Please mention whether you have some improvement or none at all.
Patient's Query
Hello doctor,
Please see the reply above. My photo is not that great to show eyes. There is an improvement but not fully resolved yet.
Hello,
Welcome back to icliniq.com.
If you have improvement, then it is a good sign. Dry eyes take around three to six months to recover. Please mention whether you have completed taking a course of Doxycycline. Dry eyes will be there for your entire lifetime. You need to put a lubricant occasionally for a gritty feeling.
Patient's Query
Hello doctor,
Can I get glaucoma? Do I need to put drops for my lifetime? Will my blood vessels in the eyes disappear eventually? I did everything except Doxycycline.
Hello,
Welcome back to icliniq.com.
Yes, there are chances to get glaucoma after chemical injury. You have to keep a watch on it. The vessels will settle down soon. Please mention the reason for not taking Doxycycline.
Patient's Query
Hello doctor,
Will my vision get affected? Is there any other way to prevent it? Will my vessels disappear? It has been eight months now.
Hello,
Welcome back to icliniq.com.
Glaucoma can be prevented when detected on time. There are good medicines available. Please mention whether you have used Naphazoline drops or Phenylepherine for redness. These medicines are effective.
Patient's Query
Hello doctor,
This is good to hear and provides some relief. I have not used Naphazoline as I have been using other drops to deal with dry eyes. Will they help in getting rid of blood vessels?
Hello,
Welcome back to icliniq.com.
It causes blanching of vessels so redness goes away and gives a cooling effect as well. I suggest you take Doxycycline 100 mg twice a day for a month and tablet vitamin C 400 mg four times a day. Continue using lubricants. Add Zoline plus drops (Camphor, Menthol, Hydroxypropylmethylcellulose, and Naphazoline) four times a day.
Patient's Query
Hello doctor,
You are a wonderful doctor.
Hello,
Welcome back to icliniq.com.
Do not get panic. You can also add omega 3 fatty acid capsules. All these help in the replenishment of tear film.
Patient's Query
Hello doctor,
I had a chemical injury to my eye as per previous communication. I have been using the daily drops and warm compress twice and still have dry eyes. I had my eyes checked by a dry eye clinic and they recommended that I do intense pulse light treatment. I do not know if I am doing more harm than good. I have one more treatment left. The ophthalmologist said that I would be conscious of my eyes which I am, it is giving me anxiety. Is this the glands that are causing me this sensation? Am I going to have this discomfort all the time?
Kindly help.
Hello,
Welcome back to icliniq.com
Please do not panic. Intense pulse light therapy is an advanced therapy for very severe dry eye which has shown improvement in cases not responding to medical treatment. Please continue as your doctor has suggested.
Patient's Query
Hello doctor,
I am using Hylo drops four times per day. Should I be using anything else? The ophthalmologist said my left eye is more sensitive. Can this cause me trouble in later years?
Hello,
Welcome back to icliniq.com.
You should be using sodium hyaluronate 0.18 % rather than simple 0.1% which is there in Hylo drops. Also add eye ointment Genteal gel at bed time. That will be helpful.
Patient's Query
Hello doctor,
Is it called Sodium Hyaluronate eye drops? Why have I such discomfort in my eyes? Will they ever return to normal or is they the way they are going to be? Ophthalmologist recommended I increase omega to 2000 mg per day. Is this okay? Yes I see 0.2 % in Hylo. Why do I see have such discomfort? Has the tear film not stabilized? Will my eyes always be like this? Is it safe to take continuous use of 2000 mg of omega daily?
Hello,
Welcome to icliniq.com.
Please do not panic. See the chemical injury does some amount of permanent damage. The medications help. Replenish things to 60 to 70 %. Yes you can increase omega 3 fatty acids. You can take safely up to 3 months.
Patient's Query
Hello doctor,
I do panic. So when I was told it is resolved. It is 70 % resolved. I will always have some element of discomfort? Thanks, I was not aware of omega 2000 mg for three months.
Hello,
Welcome back to icliniq.com.
The injury has healed. Some scars will remain.
Patient's Query
Hello doctor,
It is frustrating that after 2 years, I still have a lot of discomfort, despite using drops and heat compress. Do the scars heal? Are my eyes always going to be like this?
Hello,
Welcome back to icliniq.com.
It will get better some discomfort can be there.
Patient's Query
Hello doctor,
You have been so helpful. I am doing everything I can to resolve my eye condition as vision is so important. It is a worry after this length of time I am still having discomfort.
Hello,
Welcome back to icliniq.com.
Just keep doing as suggested. it will get better and do not panic.
Patient's Query
Hello doctor,
Thank you.
Hello,
Welcome back to icliniq.com.
You are welcome.
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Ophthalmology (Eye Care)
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