The Emergency Doctor’s Guide to Healing Dry Eyes: The Emergency Doctor’s Guides, #2
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About this ebook
Dry eyes driving you mad?
You spend hours working on your computer or staring at your phone.
You turn the car’s air vents away from your eyes.
Dry air or contact lenses transform you into a red-eyed beast.
Friends say, “Do you have pink eye?” because you look so bloodshot.
Can you relate? Congratulations! You have dry eyes, just like 1 in 4 Canadians, and 30 million Americans, who may suffer in silence.
This fast, funny book, by emergency physician Dr. Melissa Yuan-Innes, shows you how to get relief from dry eyes, based on the latest research.
Stop suffering. Start living.
Dr. Melissa Yuan-Innes is a practicing emergency doctor with an a special interest in health education. She writes columns for The Medical Post. Find her at www.myi.ninja.
"Dr. Melissa covers every essential point about dry eye care—and makes me laugh out loud."—Dr. Christine Suess, MD, FRCSC, and comprehensive ophthalmologist for 17 years with expertise in treating dry eyes
"I just finished The Emergency Doctor’s Guide to Healing Dry Eyes, and medical humour is now officially my favourite non-fiction genre! The information in this book was bite-sized and actionable. I think it will help a lot of people, myself included." —Dawn Kiddell, dry eye patient, CEO and Chief Librarian of the Cornwall Public Library
“Unfortunately, the gods of dry eye have no sense of humor. I want to use The Emergency Doctor’s Guide to Healing Dry Eyes as a teaching aid for my patients. It pretty much nails a dry eye treatment approach in all aspects. I could feel Dr. Yuan-Innes's frustration and efforts to find relief, and I must admit, I had more than a few smiles along the way.” —Dr. Steven Bacher, Optometrist in Cornwall, Ontario
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The Emergency Doctor’s Guide to Healing Dry Eyes - Melissa Yuan-Innes
This book contains medical information for educational purposes only. It is not intended to be a substitute for the medical advice of a licensed physician. The reader should consult with his/her own personal physician or health care provider in any matters relating to his/her health, including diagnosis and treatment.
Copyright © 2017 Melissa Yuan-Innes
Join Melissa’s mailing list at http://melissayuaninnes.com/
Front cover design inspired by Zeljka Kojic
Cover eye © 2010 InspiredImages via Pixabay.com
All rights reserved.
No part of this book may be used or reproduced without written permission except for brief quotations for fair use in research, study, critical articles and reviews.
For more information, to report any errors, please contact olobooks@gmail.com
Table of Contents
Title Page
Introduction
Why the heck would our eyes dry out?
How do I know if I've got dry eyes?
Quiz: why is this happening to me?
Terrific. Now what can I do about dry eyes?
Mild Dry Eyes: Level I
1. Lifestyle changes
2. Warm, wet eyes
If the eye pillow doesn’t work, try one of two alternative methods:
3. Clean eyelids
4. Omega-3 key
Vegetarian omega-3
Diet Question and Answer
5. Artificial tears
Moderate Dry Eyes: Level II & III
Lubricants (Preservative-free)
Antibiotics
Thermodynamic treatment (Lipiflow®)
Punctal plugs
Hydroxypropyl cellulose ophthalmic inserts (Lacrisert®)
Topical steroids
Cyclosporine
Severe Dry Eyes: Level IV: Big Guns
Mucin enhancement/Secretagogues
Intense Pulsed Light and Meibomian gland expression
Punctal cautery
Serum tears
Scleral contact lens
Tarsorrhaphy
Transplants
Conclusion
About the Author
Introduction
Driving home after a 13-hour emergency room shift, my eyes started to sting with what felt like fire tears.
They hurt so badly that I pulled over to the side of the road. I hate to touch my eyes after working around patients' bodily fluids, but because my tears burned like acid, I wiped them away using the shirt underneath my scrubs. I'm classy like that.
My eyes stopped watering. The pain eased off. I blinked and signaled before merging back into my lane.
After every long shift, this became my own little ritual: involuntary and painful crying for a few seconds, about 10 minutes into my drive home.
I casually asked an ophthalmologist, Have you ever heard of your own tears hurting you?
No,
he said. Never.
Oh.
Painful crying didn't happen after every shift, only my 12-hour ones. It seemed worse if I didn't drink enough water while I worked. And my car's air filter system, blowing hot or cold air in my face, felt like torture.
Hesitantly, I told my own ophthalmologist, Dr. Christine Suess, I think I have dry eyes.
To my surprise, she lit up. This is one of her passions.
Why the heck would our eyes dry out?
Either you're not making enough tears, or your tears evaporate too fast.
Dr. Suess took a look at my eyes with the slit lamp and said, The average tear lasts 10 seconds. Yours last 3.
Huh. One example where fast does not equal good. Darn it.
You need tears to moisten the cornea, which is like the windshield of your eye, the front, clear part of it. And you can get tears through two different ways:
1. Slow, steady tears through basic tear secretion.
2. Emergency waterworks because you're so happy you got a new kitten or because your eye is trying to flush a piece of metal that got stuck to your cornea. These are called reflex tears.
Basically, my eyes