Hello doctor,I am 66 years old. I have psoriasis, and it can break out around my face and eyes. I also have dry eye issues and use Thera tears. At the time, I have a lot of eye pain. I should even say I use a CPAP at night at that is when it gets the worst. To the point, I can wake up and hear my eyes moving in my head. What can be done, and is there any danger to my sight?
Hello. I fear that you have severe dry eye and using artificial tears will not be enough. First of all, you should start using the artificial tears every hour during the day and last time about an hour or 30 minutes before sleep. You could also try using a thicker type of lubrication such as eye gel when you have significant visual activities. Last but not least, you might want to get a prescription for Restasis (Cyclosporine), the only existing treatment of the dry eye. Dry eye is a chronic condition that is very hard to manage and requires high compliance from your side.