Guest guest Posted May 3, 2002 Report Share Posted May 3, 2002 Hello and Jan, I have had mild to moderate rosacea with ocular problems for a number of years and have had to figure out the best treatment for myself from my own research and from working with one very knowledgable opthalmologist. Here is my program for control of ocular rosaca and blepharitis 1) See an MD opthalmologist who can prescribe medication as needed, and give you a definitive diagnois, not an optometrist. 2) You may need to use an inexpensive, but medically prescribed antibiotic ointment on your eyelids, or even in your lower lid for awhile. Bacitrian or generic Ak-tracin work great. For serious flares the physician may prescribe TobraDex, an antibiotic eye drop which also contains some cortisone. Works wonders, but you don't want to use any cortisone eye drop for prolonged period, as there are other risks. Voltaran drops are an anti inflammory which have fewer long term risks associated, but still for occasional use only. 3) Using the warm compresses followed by gentle eyelid scrubs is necessary and has never bothered my rosacea. You could do each eye separately to avoid more contact with skin if you wanted to. This is very important to loosen the crusts that form. If you can find one, and old fashioned eye cup would work well. You can use a large, eye sized plastic tablespoon to cup the eye also. 4) How I scrub: Take a 2 oz paper bathroom cup, add a little hot water, then a few drops of 's baby shampoo, (use 's brand), more warm water to about 1 oz, stir, and then scrub each eyelid, upper and lower, gentlely with a q-tip. Rinse well with warm water cupped in your hand. At night follow with the antibiotic ointment to eyelids. 5) For control of the dry eye problem that can lead to corneal erosion begin from the inside by taking oral EFA oils. I have found that taking Borage oil, (1300 mg) or Black Current Seed oil works best, along with some Flax seed oil(1000mg). The Vitamin Shoppe, available online, has the best prices and good products. It can take up to 2-3 months for the oils to begin to help with eye lubrication, but it really works! Many on this list have found help from the oils. Also add in good fats such as olive oil to your diet. I take in at least 2 tablespoons of olive oil most days, in stir fries, salads, and as a dip for bread instead of butter. This is very anti aging for the skin too! Be aware that many physicians are not aware of the use of Borage for the eyes. 6) Lubricate your eyes as needed with quality eye drops such as Refresh. Use the individual vials, best price is Walmart. Carry with you and use during day as needed, especially if you live in polluted city or work on computer a lot. 7) Discuss with your physician an initial course of oral tetercycline, then move to a low dose regime, if needed. I maintain very comfortably on 250mg of tetracycline three times per week, MWF. This is a different use of tetracycline and is basically for the anti inflamatory effect. It also helps control the rosacea. Be sure to take a good acidolphilus and eat yogurt to keep your stomach and gut healthy. If you use the oils and follow with the scrubs and drops you may not need this. I have had the complication of iritis and have to be more vigilant personally. 8) Muro ointment is helpful if the cornea is irritated and eyes are very dry at night. As I understand it the problem with lanolin and mineral oil is their effect on the pores of the skin and they should not bother the eyes, unless you have a specfic allergy. Muro takes a little time getting used to and your vision can bebriefly blurry in the morning. Turn the heat in your bedroom down and humidify the air in the winter, for additional help. 9) Keep your body hydrated. Drink 8 glasses of good water daily, without fail. Other liquids don't count. When traveling by air, hydrate in advance, and carry water bottle with you on plane. Avoid alcohol and caffine when flying. 9) Don't try to wear contacts unless the opthalmologist clears you for use. Dry eyes and contacts don't go together. 10) Do not drink any alcohol when you are in a flare with your eyes. If you want to drink at other times experiment to see what works for you. Sake, made from rice, has no sulfites and is often tolerated better than other wines for those with rosacea. For some reason I can usually drink Coors lite but not other beers. 11) Keep a diary and watch to see what foods, places, perfumes etc bother your eyes. When I travel to a midwestern city where one of my children lives, my eyes have repeatedly flared. I have gotten to know the opthalmologist there very well! He tells me that the pollution form the corn and soy factories there bother many people, so you never know! And, my opinion only, metrocream was worthless for me, and it is not made to use around or in the eyes! Hope this helps, know it sounds like a lot, but this has worked for me. Regards, Kate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2002 Report Share Posted May 8, 2002 , you asked what I take on a daily basis: Centrum silver, multi vitamin 400 mg E 200 mcg Selenium 400 mcg Folic acid 500 mcg B-12 100 mg B-6 50 mg Coenzyme 10 Feverfew 455 mg Acidophilus daily Borage Oil,1300 mg Flax Oil, 1000 mg Calcium Citrate 300 mg, with Magnesium 150 mg Extra C 1000 mg, only as needed, in form of Emergen-C 250 mg Tetracycline, 3 X week MWF HRT, low dose in patch, with natural progesterone Sam-e 50-200 mg, as needed, the higher dose in winter Does look like a lot, but is worth it to control the rosacea and ocular symptoms and fun getting carded for senior specials! Kate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 8, 2002 Report Share Posted May 8, 2002 , you asked what I take on a daily basis: Centrum silver, multi vitamin 400 mg E 200 mcg Selenium 400 mcg Folic acid 500 mcg B-12 100 mg B-6 50 mg Coenzyme 10 Feverfew 455 mg Acidophilus daily Borage Oil,1300 mg Flax Oil, 1000 mg Calcium Citrate 300 mg, with Magnesium 150 mg Extra C 1000 mg, only as needed, in form of Emergen-C 250 mg Tetracycline, 3 X week MWF HRT, low dose in patch, with natural progesterone Sam-e 50-200 mg, as needed, the higher dose in winter Does look like a lot, but is worth it to control the rosacea and ocular symptoms and fun getting carded for senior specials! Kate Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2002 Report Share Posted May 9, 2002 Why does the borate oil work? Will it help with the gummy mess in the mornings? Will it reverse the damage from Ocular cea or just keep it from progressing? Re: Re: What works for Ocular rosacea > Hello Maida, I take one soft gel 1300 mg cap of borage per day. It contains > 260 of GLA or Gamma LInolenic Acid, 465 of Linoleic Acid and 195 mg Oleic > Acid. When I find my book on oils I will explain what these are > > Capsule contains gelatin, glycerin, water. Remember that it can take up to > 2-3 months to feel the effect of the borage oil on your eyes. Kate > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2002 Report Share Posted May 9, 2002 Sorry - Trying to say borage my spell checker and I don't always get along. Re: Re: What works for Ocular rosacea > > > > Hello Maida, I take one soft gel 1300 mg cap of borage per day. It > contains > > 260 of GLA or Gamma LInolenic Acid, 465 of Linoleic Acid and 195 mg Oleic > > Acid. When I find my book on oils I will explain what these are > > > > Capsule contains gelatin, glycerin, water. Remember that it can take up > to > > 2-3 months to feel the effect of the borage oil on your eyes. Kate > > > > > > Quote Link to comment Share on other sites More sharing options...
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