Q. My mother has severe pain, hotness, irritation, and tiredness in both eyes. Please help.

Hi doctor,

My mother will be 71 years old in the next four months. She is about 60 inches tall and weighs about 132.28 pounds. She suffered from an ischemic stroke four years ago. Currently, she has the following disturbing health conditions: -severe eye pain with gritty feeling in her eyes, forgetfulness, tiredness, and dizziness intermittently, numbness and spiky sensations on the lower legs and arm, distorted speech with unusual eye tears, high blood pressure of 152/102 mm Hg, high blood sugar (FBS-154 gm/dl, and intermittent malarial fever. She was given a tablet of Pregabalin 75 mg, Aspirin 75 mg, and Atorvastatin 80 mg late last year and stopped. She is currently on tablet Amlodipine 5 mg, Ramipril 5 mg, Metformin, vitamins, minerals, and food supplements. She is tired of being on medication for over four years. Her primary complaint is severe pain in her eyes with irregular eye tears and pain or numbness in her lower arm and leg regions. I have attached a copy of her CT scan last year for your review. Current eye complaints include severe pain, hotness, irritation, tiredness while viewing television or reading for over four hours in both eyes, and the tendency to shed tears while talking or laughing heavily. Her eye pressure last month was 11 mm Hg. She has been taking ophthalmic and allergen eye drops. Can you please advise me? Your guidance and prescription will be highly appreciated.

Thanks.

Thank you doctor,

I have attached the pictures. Obviously, from the picture, her eyes are completely closed while sleeping. Expecting your response as soon as possible.

Thank you doctor for the prompt response,

I have sent you two pictures, one with the eyes closed and the other with eyes opened. Please check the two attachments. Regarding your prescription, should I apply the Genteal get and Hydrocortisone ointment simultaneously on the eyelid margin? Can I use the two eyedrops at the same time on the eyes?

Thank you doctor,

You are amazingly good.

Thank you doctor,

I will revert to you after two weeks.

Hello,

For over a month, my mother has been experiencing severe pains in both eyes ,especially in the morning once she wakes up from sleep. She is also having the gritty sensation in both eyes. The itching of both eyes has increased and the itching has recently extended to the nose, ear and mouth area. She is still on her Blood pressure medication (Ramapril, Amylodopine) & Diabetes (Glimepiride, Metformin) medications and a couple of supplements (vitamins please read entire history to understand her medical profile for effective diagnosis.