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Eye Care Archive (Expert Forum)
stress
Our Ask A Doctor Ophthalmology Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.
stress
by damejennifer, Dec 14, 2005 12:00AM
I recently went to a second eye doctor and now both of them have said I do not have CSR. They both cannot see anything wrong with my eyes but to me they are dry, sore, burning, gritty and things far away are out of focus. Should i get a third opinion? Any idea on what could be causing this?
Doctor's Answer
by Forum-OD-MP, Dec 14, 2005 12:00AM
dont know. yes, i guess get another opinion.
is it possible you have dry eye? have you tried lubricant eye drops?
is it possible you have dry eye? have you tried lubricant eye drops?
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I had symptoms like you describe for years, and it took many eye doctors before I was diagnosed.
most keratoconus patients (especially patients who have early or borderline keratoconus) complain of the same things you initially complained of: blurry or distorted vision that some doctors cant figure out, dryness, discomfort or irritation that is difficult to describe, etc.
nowdays the the best way to diagnose an early case of keratoconus is with a computerized corneal topographer...a $30,000 machine that a lot of eye doctors dont have.
i can tell you right now that you do not have *advanced* keratoconus. any eye doc on the planet can diagnose that with no special equipment, and your vision would be terrible right now. *IF* you were to have keratoconus, it would be in the very early stages, and really only a computer topographer could catch it.
the treatment of keratoconus has had some major advances recently. the 1st thing most eye docs try is rigid gas permeable contacts. if those dont work at some point, now lots of corneal surgeons are going with INTACS, an implantable and removable plastic corneal insert. last but not least if the cornea gets VERY THIN, some patients need a conreal transplant.