
Suffering From Pink Eye Infection With Inflammation Of The Conjunctiva Dr Prescribed PrednisoLONE Acetate Drops Which Did Seem To Eliminate The White Blisters On The White Of My Eye But Lost Part Of My Vision What Could Be Wrong?



By April 24th there was little marked improvement so I went to see him again. He was amazed that there was no improvement and 'laughed.' He said "All of my patients get better with this medicine except you." You should probably check with Wal-Mart Pharmacy and see if this was a bad batch. Maybe it got too hot on the truck. I was literally taken back.
He took me off of that medicine and told me to get over the counter drops similar to 'No More Tears'- I did and used for one more week with no improvement. I called his nurse at his office and he prescribed prednisoLONE acetate drops which did seem to eliminate the white blisters on the white of my eye, however my eye started to hurt as if someone was stabbing it with a needle over and over at random times.
By the following Monday morning I lost part of my vision in my left eye. It was as if someone smeared my lens with vasoline, blurry and looked like I was looking through a frosted glass, also painful. I called his office and he was on vacation so they referred me to the physician on call at another facility, Dr H****. Dr H**** was shocked that this had gone on so long. He was afraid my vision was in danger because of non treatment.
He diagnosed me with Dendretic Keratitis/ Shingles of the eye (cornea)
He didn't want me going back to the previous Dr. - I have been with him since trying to get this fixed. He prescribed me the shingles medicine Valtrex. The shingles in the eye are getting better now but the damage which could have been prevented has taken it's toll. My left eye is left with a smear, haziness, fog or frost vision which makes it impossible to focus especially with both eyes open.
I asked him about a possible cornea transplant and he said the damage was likely too deep in the eye to make a difference. In fact that could even make it worse. Is this true?
I now see two blurry red light traffic signals covered in frost/haze. As of 8-3-2018 he said the haze would be permanent. My wife and I are almost retired and wanted to RV travel before this happened. Please let me know what I can do in this matter or any surgical recommendations.
I find it hard to believe that I would be treated like this from a professional Ophthalmologist an would like you thoughts on all of this.
Thank you,
David
Exposure to steroids was contraindicated.
Detailed Answer:
Hello,
Going through the details in your case,the only thing that strikes me is that this is exactly the way a case like this should not be treated.Nature gives us plenty of opportunities to correct our management to give relief to the patient.
The game changer has been prednisolone acetate eye drop,this is not to be used in dendritic ulcers.As this is a viral infection,exposure to steroids is likely to exacerbate the ulcers and when they heal,they leave a scar.
You have to wait for another two to three months when you have to see a cornea specialist to explore the feasibility of surgical intervention.What layers of cornea are involved and which surgical techniques will be useful.Deep,middle and superficial layer involvement required different surgical approach.
In the meanwhile, continue with antibiotic eye drops and lubricant eye drops.
Do get back to me in case of any further query in this regard.
Thanks.


Thanks
Steroid were started from the very beginning.
Detailed Answer:
My dear,
Thanks for getting back to me.
Even though the initial diagnosis was episcleritis,the moment corneal lesions started,the manager had to be drastically overhauled.
There is a small possibility of scars getting lighter with the passage of time.Repair by the body occurs more in younger years.
After the active lesion is completely healed,surgical intervention is likely to give satisfactory results.

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