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ingemlb
02-26-2014, 08:46 AM
I haven't actually followed up on my eyes a lot as the other issues seemed more urgent at the moment. But this morning I woke up with a bright red left eye so I thought I would get some feedback from others where eyes are affected by Wegener's.
Background: In 2009 I had an extremely sudden onset severe pain in my left eye. Couldn't tolerate any light and the eye was bright red and weeping like mad. I had to wear a patch whilst my husband drove me to the Eye and Ear hospital who diagnosed a corneal ulcer. Gave me some lubricating cream and sent me home with pain killers. I found the only way I could cope with the pain and the stress of it all was to spend a few days in a dark room swallowing tramadol and valium. The tramadol seemed to help with the pain and the valium knocked me out enough to stand the idea of lying in a dark room. To go to the bathroom or kitchen I had to cover the eye with a patch and a pair of very dark glasses but even then bits of light would get at it. Closing the eye seemed to make it worse.
Ok that one cleared up and I went to am Ophthalmologist who found scarring in the left cornea, diagnosed extremely dry eyes. His theory was my dry eyes would have a tendency to glue the eyes shut then on waking I would tear them open eventually causing this ulcer. He prescribed this "Genteel gel" for the night and artificial tears for the day which I have been using ever since. The redness and pain never started during the day only after having the eyes shut. but once it started I had to keep them open for it to heal hence the dark room was the best way forward. The tiniest amount of light would set off the pain and weeping. The only thing I found lately I could manage was reading my kindle.
Over the year this condition has alternated between the eyes. One major attack I was on holidays. We had been to the beach and I woke up with what felt like grains of sand in my eye. But I couldn't see anything. This brought on the usual tomato red eye, pain and weeping. We had relatives with us and I had to spend the next few days in my bedroom out of the light. We went to emergency and they had an eye clinic but there was no foreign matter in my eye.
Since then this grainy feeling is usually what will precede a full on attack.
Since around Christmas the right eye has been playing up. The last really bad attack was in November. Since then there has been a lot of red eyes but not so much weeping and pain. When i came into hospital 5 weeks ago I had this inflammation in my right eye worse some days than others and have been able to manage with the gel and drops. The light has not been a problem but the redness is there every morning on waking sometimes less bright than others and then during the day it clears to a more pinkish look.
This morning was the worst. And now it's the left eye again.
I was seeing the Opthalmologist fairly regularly whilst the eyes were flaring up until early 2012. Then suddenly the problem disappeared for over a year. I had to have my eyes tested in May whilst overseas for new glasses and again on returning home in August I think and the amazing thing is that they found my eyes were quite healthy, apart from this little scarring in the left cornea my vision had improved in the last few years so i needed less strong glasses which explained why lately everything had become blurry. i kept thinking my glasses were dirty all the time. I wear glasses for driving and watching tv. Don't need them for reading. Anyway I was ecstatic as it seemed this was one problem that had cleared.
These eye issues started about the same time as the Crohn's diagnosis (well sort of more of a guess than diagnosis, when during a colonoscopy he found the Ileum was inflamed) so I had asked the Opthalmologist if the eye issue could be linked to the Crohn's. he didn't believe it was (despite always occurring at the same time as bowel inflammations) but felt it was more likely to be Sjoegrens. But again I didn't ask how can one test for that.
My gastroenterologist now thinks that all the ulceration in bowels, stomach, mouth and eyes and the sinusitis are all due to Wegener's but so far no rest results have found any trace of granulomas. I was told that some of these should be fixed by the Prednisolone but so far the Prednisolone has not changed the eyes or sinus issues. Might be early days so will be patient and wait.
Well that's all for now. i am noticing a bit of pain setting in in the eye so I sure hope I won't be arriving home with a full-blown ulcer but also hope it doesn't cause another delay with the discharge in case they want to investigate this further :( Inge.

mishb
02-26-2014, 10:00 PM
My eyes were bright bright red - I called them my vampire eyes.

I did not have ulcers though ....... it was diagnosed as Uveitis and also Scleritis.

Steroid drops and then the introduction of pred tablets =, quickly got them under control.
They do come back every now and then, but not like before.

I'm glad you finally got to go home and hopefully things will start improving.

Auntie TooToo
03-01-2014, 01:22 PM
Currently going through similar problem with my left eye as well! My eye had being really red and sensitive to the light but then about 4 weeks ago I woke up and it was really swollen, tearing alot and painful. After trying some allergy drops for a few days at home to no avail, I realized it was something more and went into my opthamologist ..... yep - caused by Wegeners and diagnosed as Uveitis {I laughed when doc said I wasn't getting enough steriods}. Currently treating eye with prednisone drops and wearing patch along with weekly appointments; so far no permanent damage.

ingemlb
03-01-2014, 02:30 PM
It will be interesting when I go back to my Ophthalmologist now that Wegener's has been diagnosed. He was totally baffled what was causing my issues. The Eye and Ear hospital diagnosed a corneal ulcer. later on the specialist confirmed scarring on the cornea and very dry eyes. So he wasn't sure what was causing what but I had noticed dry eyes for years and at some stage was using artificial tears. After the sort of Crohn's diagnosis (saying sort of as it was never really confirmed) the Ophthalmologist didn't believe it was connected to the Crohn's and was more of the opinion it may be Sjoegrens. However that was not confirmed either. So when I come back now and give him the Wegener's letters maybe he will recognise it as well, that's if he has ever seen anyone with Wegener's. I will make an appointment after seeing my new GP end of next week as it's overdue in any case. I didn't go last year because when I had new glasses made up I discovered that my eye sight had actually IMPROVED and the reason the glasses were annoying me was due to that and not dirty or scratched lenses :) I was for ever wiping my glasses trying to be able to see :) So when the vision had improved I figured there couldn't be anything wrong with my eyes despite the constant recurring inflammations.

Miska
03-06-2014, 03:02 PM
I have the red eye vampire look too! The eye doctor stated my eyes were very dry and I had scleritis. I have a pain behind the right eye and also a shooting pain in the ear. I don't have a ulcer. I have been using something called Pataday eye drops. It helps with the pain and swelling.

ingemlb
03-06-2014, 03:17 PM
Hi Miska. I am fine now. All the redness is gone!! no pain. I still use the cream at night.

Glad you found something that helps. :)

ingemlb
03-31-2014, 09:52 PM
thought I would do an update here. I saw my Opthalmologist today and below is a post I shared on the Wegener's Australian Facebook page that sums it all up :)

"Good news from the Ophthalmologist today. After years of corneal ulcers and bad inflammation in alternating eyes both eyes are in perfect shape and my vision has improved. He will monitor more frequently now I am on the dreaded Pred but he was very happy that all seems under control. I have had totally white eyes for the last few weeks so the meds must be helping me with the eye inflammation Hasn't been this good in ages! And amazingly he knew all about Wegener's and has other patients with it and told me not to worry they were all doing very well. I forgot to ask if that meant their eyes or the rest of them But I was amazed he was fully uptodate. And he was amazed and said "How on earth did they manage to diagnose this ... it's so difficult to pin down". Luckily I had a full report with me from one of my hospital specialists that gave all the details and was able to give him a copy. So ... I won't need to find a new eye specialist. Looks like I have the best I can have already. I went to see him mainly to let him know about the Wegener's as he was never too sure what was behind my eye troubles, Crohn's or Sjrogrens or both or neither lol. But he immediately said well the Wegener's certainly explains the dry eyes and inflammation."

Party time :)

lag713
04-02-2014, 09:39 AM
Party time indeed! :hug3:

I've been dealing with tearing, photosensitivity, and eye pain. My eyes haven't looked red though. I'm looking for an opthamologist with some experience with GPA or at least eye problems caused by autoimmune diseases. I want to be sure they know what they're doing. Any recommendations in the NYC, Boston, Connecticut. or DC areas? Have bad eyes, will travel. :wink1: