Plugged ducts and vision

[frwbeach]

  Just curious. I have severe dry eye , My doc Tryed Restasis ( didn't work- maybe worse ) and  although one time a Shirmers test reveals nothing on the strip- the next time it would be ok- either way  the eyes burnt.  He did not feel plugs would be very effective .  My best corrected vision is 20-50  and of course worse right after  taking Celluvisc
( only drop to date that worked and tryed about all of them- Systane was the second most effective )  In any case
I finally got the ducts plugged  ( drops expensive and plugs seem to work for others ). My eyes were indeed wet most all the time-however they still would burn and  had to take drops anyhow - also my vision was just too blurry with my wet eyes all the time.      Unblocked my eyes do get physically dry sometimes but  the Celluvisc helps and of course vision is pretty bad for about 1/2 hour after  but I get at least an hour or so of usable 20-50 vision after that  (  longer in ideal conditions )

Question is this--  Is it typical for people with ducts plugged and the wet eyes to have blurry vision ?

Doc didn't say it was but I got the impression he knew I would have trouble--  

[frwbeach]

  You have been so accurate in most of your replies that it scares me !  I have Occular Rosacea- Chronic conjunctivitis -Light sensativity.  Your response mirrors my situation and I would imagine that if you knew the other issues you would have came to the same conclusion .
     I must say that all my Retina and other complications   came to light after cataract surgery.  It is a shame that some docs do not listen better and look harder before recommending surgery.  I gave you a list of my symptoms some time ago and you hit every other issue I had besides .  ( ecept Rosacea and thats rare )
       Hindsight is 20-20 but after quite a few doctors I am convinced that my original complaint was related to ocular rosacea and dry eyes as well as Glacouma and some macular issues ( mild )

     I had cataract surgery both eyes ( worse than before surgery )  capsolotomy both eyes  ( no improvement in vision and side effects worse )  Retina detachment and tear
had to have buckle and  a Macular pucker peel and vitrectomy ( probibly influenced by cataract surgery- original doc even told us that when I told him I was going elsewhere )

  vision had digressed to 20-120 Red eyes--dry eyes--pain nearly 24-7 even had dreams of tearing my eyes out - finally a new doc took me off all drops and meds and started all over---  My vision now is 20-50  my eyes do get red occasionally and the Rosacea flares up-- I still get flare ups of conjunctivitis but with his treatments and tetracycline for Rosacea it is bearable.  Right now the light sensativity may be my worse discomfort. I take Celluvisc which is the only drop that works ( systane helps for very short time ) I have sealed sunglasses with all the coatings for UV--Glare- ect and they help a lot with indoor lighting outdoor can still be a problem-

Lastly I want to say that I am 100% sure that  Laser Retinaplexi makes my light sensativity worse-- I unfortunately have had quite a few and after each one its terrible and then gets a bit better but ALWAYS worse than before--Many have said it doen't cause permanent issues but I am convinced that for me it does.  I have recently read posts from others with the same side effects ( permanent ).  I think sometimes when a doc sees something 1 out of a couple hundred times they just refuse to recognize it happens.

   My new doc told me MOST people have no problem.  I believe MOST is not all inclusive.

Gotta share this with you also--My new Doc sat down with me and read off the names of all the eye doctors that treated me in the last 2  1/2 years ( been with him now 8 months ) then he said it looks like you have been seen by every eye specialist in the state--Why???     My answer was quick and short-- I wanna see .
He then said well how am I doing?   I said well my quality of life is much better--I can read large print much longer-- I am in pain or discomfort 1/4 of the time of when we started--     But I think you can do better ( with a smile )--We both had a little laugh and he said we'll keep trying .  I have an upcoming appointment with a specialist to see if his Rosacea treatment can be improved on ( he said he wanterd to make sure he wasn't missing anything )

[Michael J Kutryb, MD]

If the eyes are very "wet" and watery - then yes, it will be difficult to see well.  It can happen but fortunately the  plugs can easily be removed.  Your case is not very unusual at all.  I probably have to remove the plugs maybe 15% of the time - even after the patients tried and liked the temporary, dissolvable test plugs.  Many patients have co-existing lid margin disease and/or allergies which complicates matters.

MJK MD