When your eyesight is compromised

I’ve been abit quiet lately with both blogging and doing my bit in social media since coming back from the IDF conference in Vancouver.  The main reason, I was burnt from doing a lot of diabetes advocacy in the month of November and not being able to see very well since then due to having some sort of allergic reaction in Vancouver that scared the #@*! out of me since it’s always that “is it due to diabetes?”  So, sadly  this is now making it difficult for me to stare at any gadget with a screen, even with looking away every 20 minutes (this was recommended by my optometrist back in November – and is good advice for EVERYONE who works on a screen or any other type of device).  Even better, to remember to take that 20-20-20 break … you can download a free app to remind you to take eye  breaks called Workrave (sadly not available to Mac).

If any of you follow me on Instagram / Facebook / Twitter you would have seen some of my posts on how the skin around my eyes looked (they freaked out my Mum and Dad to no end).  Whether it was the new BLUE carpeting that was put down in the conference centre for the event that let off various chemicals (this is what one of the RN’s that was a volunteer like me had thought it could be) … the drier air … higher altitude in BC … who knows.  It got to the point where the skin around my eyes was so swollen that I thought I’d need a guide dog to allow me to see.  I was a very scared cat!

My only relief was the daily 2 km walk to the conference and back with the moist Vancouver air hitting my eyes, but things were going from bad to worse on a daily basis (I had the same thing happen in Las Vegas in March at another diabetic conference – so is it a combination of drier climate and being in a conference area that has carpeting ?).  I had one pharmacist telling me to use a cortisone cream around my eyes (carefully – as he advised – it’s not supposed to be placed near eyes) – which did not work at all but actually made it worse.    In the end, a few of the CDE’s that were part of the same volunteer team that I was with, suggested taking an antihistamine, and the pharmacy they directed me to managed to find the right type to use for what I was going through (non drowsy of course so I wouldn’t drift off to la-la-land during the 8-12 hour days that most of us were having at the conference).

Sadly, it’s never quite cleared up completely, so who knows what is causing it (dry air of winter? or natural gas heating which is a new thing to me being from a house that was heated by oil or electricity before?).  I’m just dealing with it as best as I can after going to a local walk in clinic where all they could say was it would get better .  I demanded at that point for a referral to an Allergist which sadly the GP said it may still not help (I see the Allergist at the end of March).  After that, who knows, maybe a dermatologist (there are only 2 in the town I live in) will be the next step to figure out what is causing the skin problems surrounding my eyes (I do have rosacea which can cause problems with your eyes … but as someone suggested it also could be eczema).

All I know, in composing this blog, even with typing with my eyes closed, my eyes are screaming, both inside and out with a feeling like a dry dessert  (and yes I use moisturizing eye drops a lot since the cornealabrasion episode last fall).  The only good thing though, with December’s annual diabetic eye check-up?  My old fart diabetic eyes are doing extremely well with having diabetes since 1967 with not extreme changes..

Eye drop time ... moisturize the parched skin area (good thing - I have no wrinkles with the skin so stretched ... I look 21 again) - take a break from the screen… until next time my readers!

In a blink of an eye

Back in 2010 I did the most stupid thing, I briefly got an eye lash separator aka “ weapon of cornea destruction “ as I now call it (and I think my Mum does too) into my right eye which caused a corneal abrasion.   I already had a cataract forming in the same eye that my ophthalmologist had discovered just a few weeks prior (that really shocked me abit … but remember I am getting to be an old cat here). 

Fast forward almost 5 years later.  I’ve been noticing lately that I always seem to have sand in my eyes, and I put it down to air quality, heat.  I use eye drops once in awhile, and even use Muro 128 that is meant for this type of eye problem when I “remember” to you both the eye drops and gel.  See note below what I had been using had been recalled – yikes!   

Come Halloween night, I had a pretty teary and red eyeball that seemed to just come out of the blue. It made for that extra scary affect as I swung open the door and demanded to know what they wanted (some kids coming up the doorstep said my house creeped them out … jezz Louise … this is Halloween!!! Boo to you little cute Princesses, etc. etc.).

The next day, I was in agony. Eyes welling up with tears and I was even feeling depressed or down like I have been lately.  My eye was just leaking on its own accord and PAINFUL!!  Light made me feel like I was a vampire, wanting to seek shelter in the ground.  Sadly, I can’t do that, and even worse, working my shift with a lit up terminal was agony. 

Because of my fear of going into a walk-in clinic like I had back in 2010,  I called up the optometrist I was going to see for my yearly diabetic exam in December ( free for us in this province when it’s diabetes related – otherwise like in this case – I paid for each visit of $35).    I've been wearing glasses since Grade 5 and I’ve never been to an optometrist  for diabetic eye check ups except for vision testing ( you pay for this in most provinces of Canada).  I’m hoping that if my optometrist can’t help me with a problem that is diabetes related, that he will refer me to an ophthalmologist, and at that point, I no longer pay out of pocket.  If anyone from Ontario is reading this, correct me if I’m wrong.

Unlike Quebec though, where trying to see someone right away is impossible which is what occurred to me in 2010 … this optometrist office said get here stat.  Luckily, it’s within a 5 minute walk since I wasn’t fit to drive a car with this wacko eyeball affecting the other one, so off I trotted.

Long story short?  I had a pretty serious corneal abrasion that meant wearing a temporary clear contact lens for at least 24-48 hours (it was a bitch to put in by the optician since according to him I’m 1 in 100 that has very small eyes for my age and he had to use a child’s contact in the end).  Also, an antibiotic drop was given for 4 days to be on safe side along with keeping the eyeball bathed in gel drops for AM/PM use and other drops that will keep my eyeball encased in fluid (hang on a moment – off to put in some drops).  

The one thing he mentioned is what I have is very common in children and women due to our rubbing our eyes (which I don’t – so I’m wondering if part of the problem was from using the Muro 128 gel that had been recalled).  Also, this problem of dry eyes is seen in women in their menopause period of life, and can go on for … well like forever is the way I am understand him.  Time to buy stock in Alcon or Bausch & Lomb!

With a few follow ups over the first 2 weeks after the initial visit I’m now diligently putting those drops in my eyes and due to the seriousness of the abrasion, I’m on a tetracycline antibiotic for the next 3-6 months in order to save the cornea from further damage (hey wonder if my teeth will discolour like one of my friends did as a teenager when she had to go on them for skin issues).  Anyway, vanity aside of my pearly whites because I don’t use my teeth to see J .  The best thing about this optometrist is he's is up front and honest saying that it was serious and stated that if anything unusual occurs in the eye in the meantime, get myself either to his office STAT when it’s open or go to ER.  He gets right to the point with no sugar coating.

Now, if I lived back in Quebec … the land of waiting waiting waiting … I might not be writing this out today because my eyesight would be badly compromised at this point.  So far, this move to Ontario has been a good one, despite my home sickness for Montreal and friends.  Medically speaking, even with what occurred at Cornwall Community Hospital in September, along with recent endo appointment, all is good in my little world of medical practise.

So, shout out to Dr. Steve Bacher of Cornwall (gotta love his recent post on his wall about the 20-20-20 rule)!!  My eyesight has been saved … and even better … it’s not due to diabetes!!  Whoo! Whoo! 

Note:  I only discovered when writing up this blog today that the Muro 128 eye gel drops I am using have the serial number that had been recalled back in June 18, 2014!  I have been using these gel drops since July of this year, which is sort of when I started to notice problems with something in my eye.  Why the pharmacy (Costco in Laval)  that distributed these drops didn’t inform patients of this problem is abit frightening because I would have continued using them!