We saw our first Tide Pod chemical eye burn on Saturday. Her ph was 8 when she walked in. She was in a lot of pain and had a large corneal abrasion. The key thing when examining these patients is to get them irrigated as soon as possible and get the pH down to a […]
Tide Pod Chemical Burn Read More »
Usually I do not get involved in “political battles,” but when issue have to do with medical concerns that lead to devastation of my patients and children, I feel I have to say something. As many of you know I have been very critical of US public schools’ decision to implant and require all students
This is still an incomplete list, but I wanted to post about the well known toxins to the meibomian glands and what I know to date. Which Drops & Drugs That Destroy Meibomian Glands? 1. Accutane: this is well know to damage meibomian glands 2. Pilocarpine: used for glaucoma, study below (Reference 1) are concerned
Which Drops Destroy Meibomian Glands? Which Drops Help Meibomian Glands? Read More »
Stem cell use remains controversial in many fields of medicine and surgery. As noted in previous posts, we know that limbal stem cells work for limbal stem cell deficiency and corneal scar tissue/vision loss from chemical burns, Stevens Johnson Syndrome, and Graft Versus Host Disease. I and thousands of surgeons across the world have been
Update on Stem Cell Use in Dry Eyes Read More »
Platelet Rich Plasma (PRP): Not just Vampire Facials and Joint Pain Injections Platelet Rich Plasma (PRP) has recently been made popular in “Vampire Facials” to improve skin quality and help decrease wrinkles. PRP has been used for years to help decrease pain and inflammation in joints. PRP is full of over 30 growth factors and
Dr. Sandra Lora Cremers Recommends Lid Hygiene Routine: Warm Compresses Meibomian gland dysfunction (MGD) is due to the obstructions of the oil glands along the eyelids. MGD is becoming a common diagnosis partly related to the use of electronic screens which has been associated with decreased blinking rates and increased partial blink percentages. These obstructions
Best Way to Clean Eyes; Best Lid Hygiene Technique Read More »
LYRICA (pregabalin) is an FDA approved drug to treat fibromyalgia, diabetic nerve pain, spinal cord injury nerve pain and pain after shingles. LYRICA is also indicated to treat partial onset seizures in adults with epilepsy who take 1 or more drugs for seizures. It is used “Off Label” (ie, it is not FDA approved) to
Lyrica causes permanent tinnitus in some patients Read More »
Rare risk with chronic carbamazepine: Am J Ophthalmol Case Rep. 2016 Oct; 3: 31–33. Published online 2016 May 28. doi: 10.1016/j.ajoc.2016.04.010 PMCID: PMC5757391 PMID: 29503903 Pediatric conjunctival lymphoma associated with oral carbamazepine use Yasaira Rodríguez Torres,a,∗ Alma Más Ramirez,b and Rene Vazquez Botetb Abstract PURPOSE: To report a case of a pediatric patient diagnosed with conjunctival lymphoma associated with oral carbamazepine use. OBSERVATION:
Rare risk with chronic carbamazepine Read More »
We saw recently a woman who has had Stevens-Johnson Syndrome since she was 20 years old. The devastation Stevens-Johnson causing in the whole body is terrible. It has destroyed her left eye completely and now destroying her other eye. She wants to work. She wants to see. But the chronic inflammation that is not controlled
Why Am I Having Pain? Read More »
Neuropathic pain results from damage to or dysfunction of peripheral nerves due to a variety of factors, such as the ones below. Causes of Neuropathic Pain: 1. Idiopathic: meaning ..no know knows why 2. Previous virus or bacterial infection -Herpes Zoster: this is well known as Post Herpetic Neuralgia 3. Metabolic disorder -Diabetes: this is
Neuropathic Pain: How to Diagnose and How to Treat. A Primer For Eye Surgeons Read More »