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  #23  
Old 05-22-2006, 05:34 PM
Dick Adams
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Default Re: "Dry eye"??? medicine


"William Stacy" <wstacy[at]obase.net> wrote in message
news:qqlcg.13619$fb2.3277[at]newssvr27.news.prodigy.net...

- quote -

> tell them her exact computer viewing distance (measure it, don't
> guess), and then explain the formula to them if you need to ...

Why don't I just measure it, figure the add, and order a $19 pair
of readers from Zenni? To bad I can't get our money back for the
useless pair -- I could buy quite a few Zenni pairs for that amount.

Probably we start with a cold refraction, or several, until we get two
or three that are reasonably in agreement. (That is to say, walk in to
a strange shop, report that both prescription and eyeglasses have been
lost, and ask for a refraction.) (I wanted to get Mike Wallace to do an
investigative study with that ruse, but unfortunately he seems to be
retiring.)

--
Dicky





Alt 05-22-2006, 05:34 PM
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  #22  
Old 05-22-2006, 04:13 PM
William Stacy
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Default Re: "Dry eye"??? medicine

I don't recall the chemistry, but the main preservative goes to water +
some other mild or non-irritating chemical upon contacting the air/human
tears or whatever. I'm sure the chemistry is sound.

Yes, tell them her exact computer viewing distance (measure it, don't
guess), and then explain the formula to them if you need to...

w.stacy, o.d.

Dick Adams wrote:
- quote -

> "William Stacy" <wstacy[at]obase.net> wrote in message news:eAjcg.31492$4L1.16659[at]newssvr11.news.prodigy.com...
> (Re: preservation or NOT! in eye medications):
> > I think the term is dissipating ...
> Nah, that one is for drinking this martini before lunch.
> > yes they do go away upon instillation ...
> Isn't that when you make your own gin?
> Regards to going away, how can you be sure? Are there studies?
> Why going away? Going away to what extent? Exactly what is
> it that goes away?
> > Re your last post, your wife was obviously overplussed for her
> > computer work. Pretty simple stuff.
> Well, I could figure it out, so it must be. But how could I explain
> that to her eyecare professional, who says that she (the professional)
> has to go by what the patient tells her, and that it is not a cut-
> and-dried thing and that ultimately one must decide in favor of what
> is best for the particular patient.
> Do you think I should send Mrs. Adams back to the doctor for a bit
> of underplussation?
> --
> Dicky
  #21  
Old 05-22-2006, 02:59 PM
Dick Adams
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Default Re: "Dry eye"??? medicine


"William Stacy" <wstacy[at]obase.net> wrote in message news:eAjcg.31492$4L1.16659[at]newssvr11.news.prodigy.com...

(Re: preservation or NOT! in eye medications):

- quote -

> I think the term is dissipating ...

Nah, that one is for drinking this martini before lunch.

- quote -

> yes they do go away upon instillation ...

Isn't that when you make your own gin?

Regards to going away, how can you be sure? Are there studies?
Why going away? Going away to what extent? Exactly what is
it that goes away?

- quote -

> Re your last post, your wife was obviously overplussed for her
> computer work. Pretty simple stuff.

Well, I could figure it out, so it must be. But how could I explain
that to her eyecare professional, who says that she (the professional)
has to go by what the patient tells her, and that it is not a cut-
and-dried thing and that ultimately one must decide in favor of what
is best for the particular patient.

Do you think I should send Mrs. Adams back to the doctor for a bit
of underplussation?

--
Dicky
  #20  
Old 05-22-2006, 02:07 PM
William Stacy
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Default Re: "Dry eye"??? medicine

I think the term is dissipating, or something like that, but yes they do
go away upon instillation in the eye. Re your last post, your wife was
obviously overplussed for her computer work. Pretty simple stuff.

w.stacy, o.d.


Dick Adams wrote:
- quote -

> <ashnay[at]sbcglobal.net> wrote in message news:1148277821.321051.177930[at]j73g2000cwa.googlegroups.com...
> > "Disappearing" preservatives have been around (Refresh Tears,
> > GenTeal, AlphaganP, etc.) and eliminate the preservative issues.
> That is real good to know. In general, I suspect, there are huge
> potential markets for disappearing stuff. One could start, for instance,
> with disappearing calories. Disappearing credit-card balances would
> be very good.
> --
> Dicky
  #19  
Old 05-22-2006, 01:22 PM
Dick Adams
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Posts: n/a
Default Re: "Dry eye"??? medicine


<ashnay[at]sbcglobal.net> wrote in message news:1148277821.321051.177930[at]j73g2000cwa.googlegroups.com...

- quote -

> "Disappearing" preservatives have been around (Refresh Tears,
> GenTeal, AlphaganP, etc.) and eliminate the preservative issues.

That is real good to know. In general, I suspect, there are huge
potential markets for disappearing stuff. One could start, for instance,
with disappearing calories. Disappearing credit-card balances would
be very good.

--
Dicky
  #18  
Old 05-22-2006, 06:03 AM
ashnay@sbcglobal.net
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Posts: n/a
Default Re: "Dry eye"??? medicine

Another vote for Systane here. "Disappearing" preservatives have been
around (Refresh Tears, GenTeal, AlphaganP, etc.) and eliminate the
preservative issues.

  #17  
Old 05-19-2006, 08:16 PM
Quick
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Default Re: "Dry eye"??? medicine

Dan Abel wrote:
- quote -

> In article <5Tmbg.7$ei2.3[at]trndny02> ,
> "Dick Adams" <bad.addr[at]nonexist.com> wrote:
> > Eye potions are deadly expensive, especially now that
> > they are packaged in single use containers. I have
> > thought about offering a submicron-filter top for
> > drug-store bottles of distilled water. So any
> > microorganisms that might be growing in distilled water
> > (snicker!) would be removed before use. Does not make a
> > whole lot of sense, of course, but there's probably a
> > market. Maybe we could do it for big bottles of
> > buffered saline with gummy stuff, and oily, or whatever.
> Consider trying a halfway measure. Buy a little bottle
> of saline drops. When it gets empty, buy a big bottle of
> sterile saline. Pry the top off the little bottle,
> refill it and close it back. With some care, you can
> also just use the big bottle to put drops in your eyes.

You forgot? Dick's recipy for homemade saline which
he makes by the gallon and stores in his closet?

-Quick


  #16  
Old 05-19-2006, 07:50 PM
Dan Abel
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Posts: n/a
Default Re: "Dry eye"??? medicine

In article <5Tmbg.7$ei2.3[at]trndny02> ,
"Dick Adams" <bad.addr[at]nonexist.com> wrote:


- quote -

> Eye potions are deadly expensive, especially now that they are packaged in
> single use containers. I have thought about offering a submicron-filter top
> for
> drug-store bottles of distilled water. So any microorganisms that might be
> growing in distilled water (snicker!) would be removed before use. Does not
> make a whole lot of sense, of course, but there's probably a market. Maybe
> we could do it for big bottles of buffered saline with gummy stuff, and oily,
> or whatever.


Consider trying a halfway measure. Buy a little bottle of saline drops.
When it gets empty, buy a big bottle of sterile saline. Pry the top
off the little bottle, refill it and close it back. With some care, you
can also just use the big bottle to put drops in your eyes.

--
Dan Abel
dabel[at]sonic.net
Petaluma, California, USA
  #15  
Old 05-19-2006, 07:38 PM
Dan Abel
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Posts: n/a
Default Re: "Dry eye"??? medicine

In article <XY_9g.5147$UY6.712[at]trnddc08> ,
"Dick Adams" <bad.addr[at]nonexist.com> wrote:


- quote -

> Warnings about mercury-containing preservatives such as Benzalkonium
> Chloride abound. Curiously, after many years of suspicion, BAC is still
> used in some eye drops and gels, and thimerisol is still used in inoculants.
> Mercurial antiseptics are a magnet for soap-box orations faulting
> pharmaceutical manufacturers, but so far mercury has not been proved
> to be detrimental even in reasonably large quantities as a component of
> dental fillings.


Sometimes people don't understand that the whole world is made up of
chemicals. Four of the more dangerous chemicals are sodium, chlorine,
hydrogen and oxygen. Yet, when they are bound together, they form the
saline solution that many of us put in our eyes.

If the mercury is not bound, then it is a toxic substance which will
cause mercury poisoning. If it is sufficiently chemically bound, then
it shouldn't cause a problem.

--
Dan Abel
dabel[at]sonic.net
Petaluma, California, USA
  #14  
Old 05-19-2006, 05:53 PM
Neil Brooks
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Posts: n/a
Default Re: "Dry eye"??? medicine


Dick Adams wrote:
- quote -

> "Neil Brooks" <neil0502[at]yahoo.com> wrote in message news:1147993979.685939.245150[at]j55g2000cwa.googlegroups.com...
> > > Dick Adams wrote:
> > > > If Neil Brooks has some concise personal information about BAC, it
> > > seems to me that it would be favorable to post it
> > > And he just may do that....
> And he did (huge list of links to on-line files), a few if which I hope to succeed
> to read.
> But, by "personal", I had hoped to obtain a few words of Neil Brooks'
> unique experience with eye potions preserved with BAC.

Long story short -- since it exists elsewhere on this group:

High hyperopia and astigmatism since birth. (It would seem)
undercorrected for reading ... always. Always an avid reader. My eyes
developed a severe ciliary spasm (a charley horse in the focusing
muscles) causing awful pain, unstable vision, unstable eye alignment,
etc.

Years of mis-diagnosis or unsuccessful treatment until I took the
research reins myself. On his agreement that the clinical picture fit
with my theory of ciliary spasm, a phenomenally bright ophthalmologist
agreed to treat, empirically, the underlying issue using cycloplegic
drops every night. One morning--maybe 8 months later--I awoke with
improved vision and markedly reduced pain. The alignment of my eyes
also changed (there was a strong accommodative component to my
alignment).

I stayed on the drops and went back to work after five years unable
to... The work, though, was intense--huge hours, all computer or
reading. The spasm returned--slowly at first--mandating more frequent
eyedrops, then stronger and stronger eyedrops until--by the end of
about year 6--I was dosing twice a day with Atropine and wearing
sunglasses indoors.

All this time, an ocular surface pain developed and worsened and
worsened and worsened, necessitating many interventions by corneal
specialists and oculoplastic surgeons for presumed dry eye. It really
wasn't the dry eye, per se. It was the BAC.

Finally, a world-renowned ophth. said, "You're WHAT?? NOBODY uses
cycloplegic drops long term. The preservatives are toxic to the
cornea!!" So I stopped ... and stopped work. No more near
work--reading or computers.

So I figured I'd hike and bike and fun and travel and windsurf and ski
and ... figure out how to make a living without near work.

But ... there was more pain than I ever remembered ... and it got worse
with nearly any kind of activity or "harsh" environment.

More research (totally contraindicated, but ... gotta get better).
Found much on BAC. It increases the permeability of the cornea,
allowing the poison to get deep within the eyes. If your puncta are
plugged (mine had been cauterized), then it stays around even longer,
doing damage at a cellular level for quite some time.

It reduces the tear volume, de-stabilizes the tear film, causes
increased corneal sensitivity (hyperesthesia), cell death, retarded
corneal wound healing, and can hurt the war effort in Afghanistan.
Powerful.

I'm on my way to Europe soon, to be seen by the #1 BAC researcher in
the world. He's going to tear my eyes a new one, examining everything
under electron and confocal microscopy. He knows what the signature of
BAC is, and is quite certain--from country-to-country--that this is
what's going on.

I would never put somebody (I'm not a doctor, but) on a long-term drop
that contains BAC, and I would never recommend that a dry eye patient
use a BAC-containing drop ... even once, for that matter.

I didn't do the research. I was too busy trying to stay in the work
world and thought I could loosen my grip on the reins just a bit.
They've known about this BAC thing for decades.....


- quote -

> I am still wondering why I should not moisten my eyes with unpreserved water.

You're just going to dilute the mix of tears that you already have,
likely making any dry eye issues worse.

Here. Drop by this place: http://www.dryeyezone.com/talk/index.php?

Much to learn. Good people. Please check the sarcasm and sardonic
anti-doc, anti-establishment 'tude at the door, though, if you would.
These are kind, caring people trying their best in a difficult
situation. The agenda won't help anybody ... and then the people won't
be very inclined to reach out to you.

- quote -

> Case of me, by problems are vastly improved by the return of ambient humidity
> after the heating system calms down in the springtime. That, and my sense that
> my problem had to do more with gumminess than dryness, has suggested to me
> that water may be my primary answer, possibly mild saline.

I'd suggest that you're dead wrong. I'd suggest--only from what you've
said--that you have evaporative, not aqueous-deficient, dry eye, and
that you would benefit more from a drop like "Soothe." You MAY also
have meibomian gland dysfunction and MAY benefit from taking flax seed
oil capsules.

You MAY also benefit from heating a corn/rice bag to warm, then placing
it over your closed eyelids twice a day for ten minutes. This can help
to liquify the meibum that creates the oily layer that retards tear
evaporation.

 

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dry eye, medicine
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