I have scratched corneas (both of 'em) and once in a while they scratch the inside of the eyelid, when that happens, it hurts like hell. I have tried putting a patch on it but it only makes it worse. I have been to some of the best eye surgeons in NYC and they all said that you can't really heal this, the scratches on both corneas are there to stay for the life time. What they couldn't explain was why do they scratch the inside of the eyelid (one doctor said it's because the scratch gets infected and gets swollen and it causes abrasion inside the eyelid). I see a black spot on a light bulb while I have the problem, when it goes away the vision is fine. I keep the eye open and although it hurts upon blinking it heals it over time. Big problem is when I go to sleep it scratches inside the eyelid and I am back to zero the next morning with a lot of pain. I use gatifloxacin eye drops (pretty harsh so I don't use 'em unless I need them). As a doctor would you see a permanent solution to this? Some opthalmologist said I should get diamond pollish (that's what he said is the name of the surgery is). I didn't feel comfortable with it so I haven't done it. The eye surgeon in new york also said to stay away from any laser (lasik or similar) surgeries as that could cause blindness. I am also told to never wear contact lenses. They put bandage lense when I go for treatment but the doctor takes it out when the medication has improved the situation. Any information or help is appreciated. If you think there's a doctor out there who can help, please let me know.
As many different doctors described, the reason why the corneas don't heal is because I have scratches underneath the protective skin on top of the cornea. I do get what you said sometimes, especially in winter when the heater is on and eyes get dry, I wake up in the morning and open the eyes and the pain is just unbearable. Other times it just starts out as little uncomfortable and the abrasion gets worse if I don't put the eye drops. Are you qualified to do those treatments? where are you located? Thank you for your answer, it seriously means a lot to me.
Best answer:
Answer by yagman
I am somewhat confused. If your only problem is "scratched corneas" then when they heal they should remain healed. I wonder if what you are referring to is actually a condition called recurrent corneal erosion. This is a dysfunction of the corneal basement membrane which results in the corneal epithelium not bonding to the basement membrane. This results in repeated erosion of the epithelium that tends to occur more often in the morning upon waking because the eye becomes dry and the lid adheres to the epithelium and basically rips it off when you open the eyes.
If this is the problem, then there are effective curative treatments available. One such treatment is anterior corneal stromal puncture. Another is photo therapeutic keratectomy.
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