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Ophthalmology & Optometry/Adult acne in lashes draining into eyes

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Question
Adult acne is in upper and lower lashes. Top lashes are usually lined with a dried white difficult to remove substance.  Lower lashes have a liquid like yellow line that drains into the outer corner of my eyes. The yellow  has turned the inside lower rim a  light greenish color. Close to the outer corner there is a very small red pimple that has never appeared any where else since all of this began. I have recently been brave enough to begin using neutrogina acne scrub with benzoyl peroxide 3.7,  At this point I am desperate to find help. I use this scrub on very tightly closed eyes. I also use a little extra so that  when I bend over the sink to rinse,  I make sure the rinse water runs into my nose where this has managed to involve nasal hair as well. Causiinhelps the drainage in my eyes for a few hours only.I have retired and have gone back to work as a drug store clerk and face the public for hours each day.. I can not tell you how embarrassing  and humiliating  this is. I try not to look up at customers after greeting them.  Having wrinkles,dark spots, adult acne ( different than teen acne ) dead looking dry eyes,unable to use any cosmetics is very unattractive. This has affected me emotionally. I do not want friends,family,even strangers to look at me. I stay home most of the time.  Please tell me something can be done. I have seen two dermatologists,but have not yet seen someone for my eyes.

Answer
Irene,

What you are describing sounds like serious case of blepharitis.  You need to get yourself to an eye doctor (optometrist or ophthalmologist) and get treatment. Don't self-treat a serious infection, and certinaly don't put OTC products made for acne anywhere near your eyes.

This is typically easily treated with eyelid hygeine, warm compresses, eye scrubs, and a combination of oral and topical antibiotics.

The longer you wait, the more difficult it may be to treat and the more long-lasting effects there may be.

Please make an appointment with your eye doctor and get treatment started.

Good Luck!
Dr.D

Ophthalmology & Optometry

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John M. Dovie, OD, FAAO

Expertise

As a residency-trained Fellow of the American Academy of Optometry I am able to answer most questions regarding eye and vision health. Anything is welcome, ranging from dry or allergy eyes, bifocal contact lenses, or thoughts on LASIK surgery. As I am not a surgeon, detail-oriented surgical-related questions may be better answered by an ophthalmologist.

Experience

Selected to participate in the PCO residency program in Philadelphia at The Eye Institute, where I worked OD and MD specialists gaining invaluable experience in various clinics including glaucoma, cornea and cataract, oculo-plastics, retinal disease, neuro-ophthalmic disease, primary care, emergency medicine, and special populations. Have practiced and trained in numerous settings including hospital, academic, retail and private practice. I earned my Fellowship in the American Academy of Optometry (FAAO). There are currently only about 3000 active fellows worldwide, and there are only about 70 Fellows in the state of Virginia. I currently own and operate my own optometric practice/clinic.

Organizations
American Academy of Optometry, American Optometric Association (Contact Lens/Cornea Section member since 2001), Southwest Virginia Optometric Association, Virginia Tech Alumni Association

Publications
Seminars/Presentations:
“Nyctalopia as the Presenting Sign of Vitamin A Deficiency: A Late Complication of Gastric Bypass Surgery.” Clinical Case Study Poster presented at The American Academy of Optometry Denver, Colorado, December 2006, co-authored with Bradley Lane, OD.
“The Importance of Considering Paranasal Sinus Mucocele as a Differential Diagnosis in Diplopia.” Clinical Case Study Poster presented at The American Academy of Optometry San Diego, California, December 2005, co-authored with Kelly Malloy, OD, FAAO and Cherie Farkash, OD.
“Acute Onset of Halos and Glare: Bilateral Keratitis—An Atypical Presentation of Amiodarone Keratopathy.” Clinical Case Study Poster presented at The American Academy of Optometry Tampa, Florida December 2004. Also Presented to New Jersey Academy of Optometry, Neptune, New Jersey March 2005.
“The Opportunity for an Optometrist to Save a Life.” Clinical Case Study and Grand Rounds Presentation presented at The Pennsylvania College of Optometry, Philadelphia, Pennsylvania, September 2004.
Publications:
“Corneal whorls cause wonder.” Clinical Challenges Quiz, co-authored with Andrew Gurwood, OD, FAAO, Review of Optometry. Published 10/15/2006.
“Acute onset of halos and glare: bilateral corneal epithelial edema with cystic eruptions--atypical presentation of amiodarone keratopathy.” Co-authored with Andrew Gurwood, OD, FAAO. Published February, 2006, Optometry.
“Pondering the posterior polka-dots.” Clinical Challenges Quiz, co-authored with Andrew Gurwood, OD, FAAO, Review of Optometry. Published 5/15/2005.
Professional Involvement:
“AION: Amiodarone-Induced or Anterior Ischemic Optic Neuropathy?” Participated as a peer-review referee for Expert Review of Ophthalmology (London, UK); refereed 10/2006.

Education/Credentials
Bachelor of Science, Cum Laude, Virginia Tech. Bachelor of Science, Pennsylvania College of Optometry. Doctorate (OD), Pennsylvania College of Optometry Residency, Pennsylvania College of Optometry Fellow of the American Academy of Optometry

Awards and Honors
Winner, First Place, "Best Beside Manner" by Our Health Magazine: 2012, 2013, 2014 Winner, First Place, "Best Eye Doctor" by The Roanoke Times: 2013, 2014 Recognized as a Fellow of the American Academy of Optometry, December, 2006 Recipient of the Onofrey G. Rybachok Memorial Scholarship, 2000-2001 Member: The Golden Key International Honor Society Member: The National Biological Honor Society Member: The National Honor Society Eagle Scout awarded 1994

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