Discussions By Condition: Eye conditions

Chronic corneal abrasion

Posted In: Eye conditions 3 Replies
  • Posted By: Alison81
  • October 25, 2008
  • 11:55 PM

I am a 27 year old single mom, and I work at a school as teacher's aide for students on the autism spectrum. In july 2007 I had a child poke me directly in the eye. Initially, the injury was not bad. I was given antibiotic drops, and that was it. Only I noticed that my vision became blurry after the incident, seeing double. In august 2007, I had another corneal abrasion in that eye, and it was the original scar that had re-occurred as an abrasion. I was given antibiotic drops, oral antibiotics, and of course, plenty of eye drops to prevent dryness. Since then, it has re-occured every single month, sometimes more. Basically, it re-occurred every morning, but most of the time it would heal quickly after I put in artificial tears. But once a month it was bad enough that I had to see my doctor and be put on pain medication and antibiotics. Sometimes I was given a medical contact to stabilize my eye until it healed.

In early october 2008 they removed some of the layers off my cornea which do not shed on their own, as well as punctured my stomal layer to create better scar tissue. I was happy because at first, it seemed to work. I was not waking up in pain every single morning when I opened my eyes, so I was hopeful. But this morning, I woke up, first time I forgot to put eye drops in before bed, and I had a really bad coreal abrasion. Right now I am on pain medication, and antibiotics, and have to call my doctor on monday to see what the next step is.

I am at my breaking point. This is not only extremely painful, but has cost me my second job. I am lucky that this happened at work, and it would be horrible to fire me over it at my first job. But I miss a lot of days between the abrasions occuring, which leave me unable to function normally for at least 3 days, and then I have appointments to see doctors for this. I am a single mom, and am now in debt, as I can't NOT have a second job, but this has left me feeling pretty useless and helpless. I even had to drop out of college because I was missing class, and I have double vision since the first time this happened, and eye glasses don't help, as everytime I get a new abrasion, my vision changes. I used to be a very independent person, and so positive, but now, I find myself needing someone to help me whenever this happens, which is VERY often. PLEASE ANY advice, PLEASE let me know. I don't know how much longer I can deal with this. I started on depression meds 6 months ago because this is destroying my quality of life. I feel disabled in a sense, and no one has any answers. I'm tired of being told, "we'll see if this works". I want to hear, "this WILL work."

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  • That is a really unfortunate story. I too suffer from recurrent abrasions and I've gone to the doctors about it multiple times and do they do very little. They always just give me some expensive eye drops and then I use them. The abbrasion will go away but then come right back in less than 6 months. I am just getting over one that popped up 2 days ago. I found out a couple of self-treatments you might try. I went to the drug store and bought artificial tears (the generic ones) and I put those in many times a day. This helps relieve pain and assist healing. I read that when you sleep your eyelid can stick to the damaged cornea a rip it open so you have to heal all over again. So I found this Lacri-Lube nighttime eye lubricant (over the counter; like $12) and I put that in at night. It worked wonders today I have no pain and my abrasion is almost healed. Like myself, you will probably have to deal with these indefinitely but there are many things you can do to reduce occurrences and relieve pain. You need to wash you eyes every night and put towels soaked in warm water over your eyes. I found this good web page about preventing and dealing with recurrent corneal abrasions:http://www.goodhope.org.uk/departments/eyedept/recurrentabrasion.htm#treatmentHope that helps and good luck.
    Anonymous 42789 Replies
    • November 7, 2008
    • 05:29 PM
    • 0
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  • I am so very delighted and encouraged to come across this website and this article on corneal abrasions as I have been fighting this very thing since 1991 when it first began. Until now I have never been able to find any helpful information on this condition which my opthamologist calls degenerative chronic cornea disease. Thank you, Adrian, so very much for the link to the goodhope.org.uk website. It is helpful beyond words and explains so much. My episodes always occur at night and I will hear a loud pop that jerks me awake with intense and debilitating pain. It causes screaming pain and great fear. There are tales to tell, but too much to relate here. I have seen many emergency rooms due to this corneal disease. However, in 2003, opthamologist doing her residency training at the University of Texas teaching school told me about the lid scrubs that began my recovery. Prior to that, I had been told by many opthamologists to use lacrolube generously every night and to soak the ointment out with hot water rinses every morning which I did religiously, but still had attacks. I have since found articles about a condition called “blepharitis” which is explained quite well at www.steadyhealth.com or directly to Staphylococcal Blepharitis Treatment at:http://www.ask.com/bar?q=Staphylococcal+Blepharitis&page=1&qsrc=6&ab=0&u=http%3A%2F%2Fwww.steadyhealth.com%2Farticles%2FStaphylococcal_Blepharitis_Treatment_a186_f32.html I do wonder if this has something to do with the condition we suffer from.To quote: “The pathophysiology of blepharitis is well understood. It involves simple bacterial colonization of the eyelids. Bacteria that is most commonly found in the culture is Staphylococcus aureus. This results in direct microbial invasion of tissues, immune system–mediated damage, or damage caused by the production of bacterial toxins, waste products, and enzymes. It is also important to know that colonization of the lid margin is increased in the presence of Seborrheic dermatitis or Meibomian gland dysfunction.” This sounds far out, but read the article. Some of it fits.It explains that the eyelid sticking to the cornea can be caused by the bacterial toxins and waste products and how the lid scrubs and hot water soaks help wash away these toxins. It is a good article, but not as good as the Goodhope article. I am blessed that I have very few attacks these day—went for several years with no attacks and have had maybe one or two per year when suffering from severe stress and lack of sleep which I believe definitely contributes to my susceptibility/vulnerability to attacks. But the most peace of mind comes in that now I know, even though the attacks are painful and render me helpless when it strikes both eyes at the same time, which occasionally it does—I know that if someone can get me to the opthamologist to put in the numbing eyedrops and then puts on a soft contact lens, the pain will cease immediately. I then wear the contact for 4-5 days, then go back to opthamologist to remove and check my vision, and I’m good to go again. But the difference is with the contact, I can go about my business with no pain and just let it heal whereas before I was bound to the bed in pain having to take knock out pain killers for days until I healed. I had to feel my way to the bathroom as I couldn’t open my eyes and had to have someone bring in food, etc. until I healed. It was so horrible. I use lid scrubs (OCuSoft Lid Scrub from Walmart) every morning and every night followed by hot water rinses. And I just found a new brand of lubriciant that Walmart now carries that costs only $3.50 instead of $7 to $9 a tube and it works just as good—it is Puralube Ointment by Fougera. I also put in a few drops of Refresh Liquigel after I apply the lubricant before I go to bed. And in the morning before I ever open my eyes—I put a few drops of Bausch & Lomb Advanced Eye Relief Eye Wash on my closed eyelids and let that soak in the crevices of a closed eye until it lubricates and cools my eyes so I dare try to open them. After eyes are opened, I use my fingers to run across both upper and lower lids while water still in eyes and that seems to remove any debri that might be lurking on the eyelid to make it stick together. That’s my daily treatment.
    MargaretLB 1 Replies Flag this Response
  • I am a 27 year old single mom, and I work at a school as teacher's aide for students on the autism spectrum. In july 2007 I had a child poke me directly in the eye. Initially, the injury was not bad. I was given antibiotic drops, and that was it. Only I noticed that my vision became blurry after the incident, seeing double. In august 2007, I had another corneal abrasion in that eye, and it was the original scar that had re-occurred as an abrasion. I was given antibiotic drops, oral antibiotics, and of course, plenty of eye drops to prevent dryness. Since then, it has re-occured every single month, sometimes more. Basically, it re-occurred every morning, but most of the time it would heal quickly after I put in artificial tears. But once a month it was bad enough that I had to see my doctor and be put on pain medication and antibiotics. Sometimes I was given a medical contact to stabilize my eye until it healed. In early october 2008 they removed some of the layers off my cornea which do not shed on their own, as well as punctured my stomal layer to create better scar tissue. I was happy because at first, it seemed to work. I was not waking up in pain every single morning when I opened my eyes, so I was hopeful. But this morning, I woke up, first time I forgot to put eye drops in before bed, and I had a really bad coreal abrasion. Right now I am on pain medication, and antibiotics, and have to call my doctor on monday to see what the next step is. I am at my breaking point. This is not only extremely painful, but has cost me my second job. I am lucky that this happened at work, and it would be horrible to fire me over it at my first job. But I miss a lot of days between the abrasions occuring, which leave me unable to function normally for at least 3 days, and then I have appointments to see doctors for this. I am a single mom, and am now in debt, as I can't NOT have a second job, but this has left me feeling pretty useless and helpless. I even had to drop out of college because I was missing class, and I have double vision since the first time this happened, and eye glasses don't help, as everytime I get a new abrasion, my vision changes. I used to be a very independent person, and so positive, but now, I find myself needing someone to help me whenever this happens, which is VERY often. PLEASE ANY advice, PLEASE let me know. I don't know how much longer I can deal with this. I started on depression meds 6 months ago because this is destroying my quality of life. I feel disabled in a sense, and no one has any answers. I'm tired of being told, "we'll see if this works". I want to hear, "this WILL work."This happened to my husband many times about 10 years ago. He hasnt had a recurrance for years. But it took him a long time to find a regime that worked. He had a few procedures where the cornea was removed then punctured to help with healing. The thing that has worked best is to use "lacrilube" ointment at night without fail. He also wore sunglasses to bed for years, he was so afraid of putting any pressure on his eyes. It worked. Now he doesnt wear the glasses but hes very careful with his eyes, using eye drops at day if his eyes are dry and always using a lubricant at night. I hope you find a remedy because I know what agony this corneal erosion causes. good luck
    Anonymous 42789 Replies
    • November 7, 2009
    • 01:27 PM
    • 0
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