Ophthalmology & Optometry/typical Eye allergy problem

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Question
Dear Doctor,

I am 30 years old male. I have been suffering from eye allergy problem science 2008. My eye is etching, going to be dry, white portion of the eye going to redish.  He gave me medicine, I took the medicine and I am fine when my medicine finished it started happening as it was. My doctor told me this happened due to dust. Now my question is, is there any places in the world where is no dust? That means I will take medicine for this allergy until my death.

I am specially avoid to take allergy type food.  

I have glass and I am wearing it when I was 4 years old. Now my current power is,

Right eye: sphere= -4.25; Cylinder= -1.00; Axis= -180
Left eye: sphere=-3.50; Cylinder=-2.00; Axis=-180

Last 1 month before I took below eye drope:

Olopatadine 0.2% (1 month, 4 times a day)
Prednisolone Acetate 1% (1 month, 4 times a day)
Spirulina (multivitamins)

Please advice me how can I permanently get rid out of this diseases.

Best regards
Niaz

Answer
NIaz,

Many people develop allergies over time, and these allergies can be worsened by other factors, such as dryness in the air.
At a glance, I would say you are overmedicated, and this can be just as bad as not medicated enough.
I would back off the Olopatadine to once a day--this medicin is an antihistamine, and a side effect is drying/irritation. Using it too much will absolutely make your symptoms worse.  In the united states, they recommended dose is just once a day.  You can do twice, but NOT more without most people having problems.
I would back off the prednisolone to three times a day for 1 week then start just twice a day. Do not stay on this for more than 2 months without following up with an eye doctor - it has the potential to cause serious side effects, such as high eye pressure - which can cause glaucoma.
During the day, start using artificial tears 2-3 times, preservative free would be better.
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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