[49M] With chronic burning eyes and vision problems

Question

Please help me

Patient Description

A 49-year-old male reports experiencing a burning sensation in his eyes several times a day, lasting about 5 minutes each time, making it difficult to open his eyes. This has been ongoing for years and has intensified over time. Additionally, he has trouble seeing, especially when waking up at night, sometimes seeing only black for a couple of minutes. Straining his eyes seems to trigger these episodes. He has not found relief from using eye drops. Other symptoms include eye pain, redness, fluid discharge, sensitivity to light, halos around lights, difficulty seeing at night, and frequent itching in his eyes. He is currently taking Sertraline HTC 150 mg for bipolar disorder, Seroquel 100 mg, Trazodone 100 mg for sleep, and a blood pressure medication at 5 mg. He also takes Balance of Nature and a multivitamin. He has no known drug allergies and no other diagnosed medical conditions such as diabetes or autoimmune diseases. There has been no exposure to environmental irritants, and there is no family history of eye diseases like glaucoma or macular degeneration.

Show More

Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Dry Eye Syndrome: This condition occurs when your eyes don't produce enough tears or the right quality of tears to keep your eyes lubricated. Symptoms include burning, redness, and a feeling of something in your eye. It can be exacerbated by straining your eyes, such as when reading or using a computer.

    • Treatment: Artificial tears, prescription eye drops, and lifestyle changes like using a humidifier can help. In severe cases, procedures to block tear ducts may be recommended.
  • Blepharitis: This is an inflammation of the eyelids that can cause redness, burning, and itching. It often occurs when the tiny oil glands near the base of the eyelashes become clogged.

    • Treatment: Warm compresses, eyelid scrubs, and antibiotic ointments or drops can be effective.
  • Allergic Conjunctivitis: This condition is caused by an allergic reaction to substances like pollen, dust, or pet dander. Symptoms include redness, itching, and tearing.

    • Treatment: Avoiding allergens, using antihistamine eye drops, and taking oral antihistamines can help manage symptoms.
  • Medication Side Effects: Some of the medications you are taking, such as those for bipolar disorder and sleep, can cause dry eyes and other eye-related side effects.

    • Treatment: Discussing alternative medications or adjusting dosages with your healthcare provider may be necessary.
  • Glaucoma: This is a group of eye conditions that damage the optic nerve, often due to high eye pressure. Symptoms can include vision loss, halos around lights, and eye pain.

    • Treatment: Prescription eye drops, oral medications, and sometimes surgery are used to lower eye pressure and prevent further damage.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Use Artificial Tears: Over-the-counter artificial tears can help lubricate your eyes and relieve dryness and burning.
  2. Apply Warm Compresses: Placing a warm, damp cloth over your closed eyes for a few minutes can help relieve symptoms of blepharitis and dry eye syndrome.
  3. Avoid Allergens: If you suspect allergies are contributing to your symptoms, try to avoid known allergens and consider using antihistamine eye drops.
  4. Take Breaks: When doing activities that strain your eyes, such as reading or using a computer, take regular breaks to rest your eyes.
  5. Stay Hydrated: Drinking plenty of water can help maintain overall eye health.
  6. Use a Humidifier: Adding moisture to the air can help alleviate dry eye symptoms.
  7. Journal Your Symptoms: Use MDandMe to track your symptoms, medications, and any triggers you notice. This information can be valuable for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Eye Pain: This could indicate a more serious condition like glaucoma.
  • Sudden Vision Loss: Any sudden changes in vision should be evaluated by a healthcare provider immediately.
  • Persistent Redness or Discharge: If your symptoms do not improve with over-the-counter treatments, you should see a healthcare provider.
  • Increased Sensitivity to Light: This can be a sign of an underlying condition that needs medical attention.

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.

Show More

2
 Hugs
1
 Comments

Save

5 mo ago

People Also Ask


What are the common causes of a burning sensation in the eyes?

A burning sensation in the eyes can be caused by dry eye syndrome, blepharitis, allergic conjunctivitis, or exposure to irritants. It can also be a side effect of certain medications.


Can medications for bipolar disorder and sleep affect eye health?

Yes, medications like Sertraline, Seroquel, and Trazodone can cause dry eyes and other eye-related side effects. It's important to discuss any eye symptoms with your healthcare provider to adjust medications if necessary.


What are the symptoms and treatments for dry eye syndrome?

Dry eye syndrome symptoms include burning, redness, and a gritty feeling in the eyes. Treatments include using artificial tears, prescription eye drops, and lifestyle changes like using a humidifier. In severe cases, procedures to block tear ducts may be recommended.


How can I differentiate between allergic conjunctivitis and other eye conditions?

Allergic conjunctivitis typically involves redness, itching, and tearing due to allergens like pollen or dust. It can be managed by avoiding allergens and using antihistamine eye drops. Other conditions like blepharitis or dry eye syndrome may have overlapping symptoms but require different treatments, so a healthcare provider's diagnosis is important.


Preview

Post

1 Comments


Arora (Bot)#28060

5 mo ago

Of course, Damon. How can I assist you further? Do you have specific questions about your assessment, symptoms, or treatment options?

1
 Hugs
Reply

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback