Blepheritis/Zylet?

I have been dealing with now what they say is blepheritis. I have been going to the eye doc every week and have seen 4. I have had my eye pressures take 5 times and dialated 3 times. The dialating was cause I have so many floaters but both tests showed no issues.I have the sores and inflammation/dry,pressure and heavy lids but very raw. I have been doing the hot compresses and cleansing also the no perservative drops. They are worse and seem more dry and super red at night. I tried 3 types of anti biotic drops but they made them burn so bad and so we switched to oral ones but since that my eyes are dryer and hurt more. I called to see if I could give the first anti biotic drops again a try till my apt on wed. So I am starting zylet again for 5 days it says. I heard some negative about this drop. I am desperate and my eye doc said people usually get relief from this drop so I thought if ihave to go through the trial again I should start with this one. Any thoughts or is this more just a caution for long term use? Also by the way I have been wearing my glasses only and no make up. Thanks

[John C Hagan III, MD, FACS, FAAO]

1. You should be under the care of a physician ophthalmologist and not be seeing a non-physician, limited scope optometrist.
2. blepharitis is OFTEN associated with dry eyes and you should be tested for dry eyes with a schirmer test, tear break up time.
3. Besides treating your blepharitis you may need to go on Restasis or have tear duct plugs.
4. Zylet is very expensive and contains a steroid and is not for long term use. Risks include glaucoma, cataracts and increased risk of infections.
5. If you have not see a cornea/external desiease specialisey Eye MD get an opinion from one. Fine one at www.aao.org

JCH III MD

[naturalpeter]

I have had sensitive eyes now for 24 years.  I got a cold one day, and they changed over night!  At the time, I saw around 5 doctors, who couldn't find anything wrong.  That was 24 years ago.

I recently saw my opthalmologist for opthalmic mygrains.  At the time, I again mentioned my condition that I've had for the last 24 years: red eyes, eyelids, and hypersensitivity.  He has recently put me on Zylet and Soothe XP.  I had some burning after a few days, and had to stop for a few days for it to get better.  I resumed the medication again.  But, again I had an awful burning in my eyes, and had to stop again.  Now, it's been almost 3 weeks since I stopped, and my eyes are really burning and worse than they ever were before.  He has refered me to another doctor for a second opinion.  I can't help but worry that my eyes will never be the same.  They are worse than ever, and I wish I had never gone to the doctor in the first place.  

Will my eyes ever get better?  I am starting to doubt it.  I am suffering every day and every night now.  I will be seeing the second opinion doctor this Tuesday.  I would very much like a suggestion from you on this matter.  Thank you.

[John C Hagan III, MD, FACS, FAAO]

Zylet will not mess your eyes up forever.

Be sure you are seeing a MD ophthalmologist. Ideally see one that specializes in cornea and external disease. tell him/her you are concerned about dry eyes and blepharitis. Talk to the Eye MD about going on Restasis.

JCHMD

[naturalpeter]

Thank you Doctor for your very fast reply.  "Zylet will not mess your eyes up forever," but is 3 weeks a long time, and is this something that is more common than I would have expected?  Could my eyes get better, but it might take months?  "Forever" is a very long time, so what should I expect for a recovery period?  And, why should it "mess" my eyes up at all?  Isn't it an anti-imflammatory, antibiotic?  I would think that this should not make my eyes worse, but it sure seems to have.  I just hope I don't go round in circles again with ophalmologists.  It seems to me, as is the case with many doctors, that if they cannot diagnose a condition, then it must all be in the patient's head.  Well, I'm not crazy, I just want relief.

[John C Hagan III, MD, FACS, FAAO]

Zylet is a combination of a antibiotic and a steroid. Worse case is that you might be a steroid responder and your IOP could go up and take several months to return to normal, otherwise problems like itch, burn, rash, redness, swelling should clear within 3 weeks.

JCHMD