Recurrent corneal erosion primary prevention: Difference between revisions
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==Primary Prevention== | ==Primary Prevention== | ||
Given that episodes tend to occur on awakening and are sometimes managed by use of good 'wetting agents', approaches to be taken to help prevent episodes include: | Given that episodes tend to occur on awakening and are sometimes managed by use of good 'wetting agents', approaches to be taken to help prevent episodes include: | ||
* | *Avoiding dry or irritating environments (eg cigarette smoke) | ||
* | *Drinking plenty fluids to help prevent drying of the eyes. This may also involve limiting alcohol intake in the evenings. Drinking heavily may cause an episode the morning after, known by some as "Drinker's Eye". | ||
*not sleeping-in late, as corneal hydration from lid closure may be a factor affecting epithelial adhesion.<!-- | *not sleeping-in late, as corneal hydration from lid closure may be a factor affecting epithelial adhesion.<!-- | ||
--><ref name="eMedicine-Verma">{{cite journal | author= Arun Verma | coauthors =Michael P Ehrenhaus | date= August 25,2005 | title = Corneal Erosion, Recurrent| journal = eMedicine | id = {{eMedicine|oph|113}} | url =http://www.emedicine.com/OPH/topic113.htm | accessdate = 2006-05-13}}</ref> | --><ref name="eMedicine-Verma">{{cite journal | author= Arun Verma | coauthors =Michael P Ehrenhaus | date= August 25,2005 | title = Corneal Erosion, Recurrent| journal = eMedicine | id = {{eMedicine|oph|113}} | url =http://www.emedicine.com/OPH/topic113.htm | accessdate = 2006-05-13}}</ref> | ||
* | *Use of long-lasting eye ointments (eg [[lacrilube]]) applied before going to bed. | ||
* | *Learn to wake with eyes closed and still. Keep high quality artificial tears within reach at bedtime. If eyes feel 'stuck shut' upon awakening, insert the tip of tears bottle slightly into inner corner of eye, gently squirting the tears, which will seep under the eyelid, often allowing opening of eyes without an erosion episode. Several repeated applications of tears may be necessary, but with patience, eyes will very likely become 'unstuck' allowing painfree opening of eyes and erosion avoidance. (personal experience){{Fact|date=February 2007}} | ||
* | *Another method, after waking with eyes closed and still, is to gently rub the closed eyelids with fingers in a circular motion to "unstick" the eyelids before attempting to open them. (personal experience){{Fact|date=February 2007}} | ||
* | *Control air quality and humidity while sleeping. Avoid having an over ventilated room while you sleep. Having air flowing over your face, even with your eyes closed, can and will increase eye dryness. Cool, moist and still air is the best environment to prevent unnecessary evaporation of eye moisture. (personal experience){{Fact|date=February 2007}} | ||
* | *Limit your exposure to viruses (e.g. by getting an annual flu shot). Viruses like the flu (and gastro symptoms like diarrhea) seem to cause the eyes to dry out which can contribute to causing an episode. (personal experience){{Fact|date=February 2007}} | ||
* | *Wear glasses (sunglasses, prescription glasses or even "fake" glasses) especially when engaging in activities like gardening or playing with children. (personal experience){{Fact|date=February 2007}} | ||
* | *Since dryness can be a cause of episodes using the medication [[Restasis]] to increase tear production is considered a possible means of reducing erosions | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 16:11, 31 December 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2]
Primary Prevention
Given that episodes tend to occur on awakening and are sometimes managed by use of good 'wetting agents', approaches to be taken to help prevent episodes include:
- Avoiding dry or irritating environments (eg cigarette smoke)
- Drinking plenty fluids to help prevent drying of the eyes. This may also involve limiting alcohol intake in the evenings. Drinking heavily may cause an episode the morning after, known by some as "Drinker's Eye".
- not sleeping-in late, as corneal hydration from lid closure may be a factor affecting epithelial adhesion.[1]
- Use of long-lasting eye ointments (eg lacrilube) applied before going to bed.
- Learn to wake with eyes closed and still. Keep high quality artificial tears within reach at bedtime. If eyes feel 'stuck shut' upon awakening, insert the tip of tears bottle slightly into inner corner of eye, gently squirting the tears, which will seep under the eyelid, often allowing opening of eyes without an erosion episode. Several repeated applications of tears may be necessary, but with patience, eyes will very likely become 'unstuck' allowing painfree opening of eyes and erosion avoidance. (personal experience)[citation needed]
- Another method, after waking with eyes closed and still, is to gently rub the closed eyelids with fingers in a circular motion to "unstick" the eyelids before attempting to open them. (personal experience)[citation needed]
- Control air quality and humidity while sleeping. Avoid having an over ventilated room while you sleep. Having air flowing over your face, even with your eyes closed, can and will increase eye dryness. Cool, moist and still air is the best environment to prevent unnecessary evaporation of eye moisture. (personal experience)[citation needed]
- Limit your exposure to viruses (e.g. by getting an annual flu shot). Viruses like the flu (and gastro symptoms like diarrhea) seem to cause the eyes to dry out which can contribute to causing an episode. (personal experience)[citation needed]
- Wear glasses (sunglasses, prescription glasses or even "fake" glasses) especially when engaging in activities like gardening or playing with children. (personal experience)[citation needed]
- Since dryness can be a cause of episodes using the medication Restasis to increase tear production is considered a possible means of reducing erosions