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Is laser or contact lenses best when have inflamed pinguecula? (Photos)

KirstyHogarthOct 14, 2018
I am 30. Contact lenses seem to exasperate the redness. However, I don't want to have to wear glasses all the time (-3.5 myopia). So see that I have 2 choices.. Am I best getting pinguecula removed & then continue with a combination of glasses and contacts or have SMILE laser eye correction? I have dry eyes (potentially from contact lenses, but use good lenses: Total Dailies 1) and use Thermaloz drops daily already. I have been told I qualify for laser but want to make sure this is best solution for me?

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Ahad Mahootchi, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
Answered on Oct 24, 2018
Answer
1 person found this helpful
Dr. Samer Hamada, MD
Specialist Registered Ophthalmologist
Answered on Jan 18, 2021
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Andrew Caster, MD

Most likely, you are experiencing some residual dryness, which is very common during the first 3 months. Try using moisturizing drops and especially take omega-3 fish oil pills.

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Andrew Caster, MD

Your reaction is not typical, and it should be treated. It might be best if you were examined. Steroids are probably the best treatment, but without an examination it is hard to be sure.

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Ahad Mahootchi, MD

Lasik can make your dry eye worse independently of your pinguecula and blepharitis.Most people can't really do the compresses effectively enough to make a difference. Once a week oral azithromycin can work wonders.Unfrozen autologous serum eye drops for 1-2 months before LASIK can cut down on...

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Jay Bansal, MD

It is still early in your healing process, so the blur may be due to dryness. I would use preservative free tears every two hours. If there's no improvement, I recommend returning to your doctor to ensure normal healing. There could be a chance that there is under correction, but it is too e...

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Jay Bansal, MD

It is still very early in your healing process. The prescription in your left eye may change and go away as you are fully healed. Keep up with the preservative free artificial tears every two hours and try to limit computer usage. 

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Ahad Mahootchi, MD

There are lots of treatments for dry eye but in post LASIK patients unfrozen autologous serum, in my experience, gets people to recover the fastest.See your surgeon soon.

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