Corneal Conditions & Problems-Recurrent Erosion & Pterygium in Portland, Maine

Recurrent Corneal Erosion
Recurrent Corneal Erosion is a condition of the cornea whereby there is a poor attachment of the outermost layer of the cornea, the epithelium, to the underlying basement membrane layer. Patients who experience Recurrent Corneal Erosion may complain of sharp pain, light sensitivity, tearing and watering of their eyes, and a gritty sensation. Often this occurs upon awakening or after rubbing the eyes. Recurrent Corneal Erosion is a condition that may be associated with Map-Dot-Fingerprint Dystrophy. Dr. Sise may initially prescribe an eye ointment at bedtime as the first line of treatment.  This medication helps the epithelium to adhere more firmly to the underlying basement membrane. Artificial tears may also be recommended during the day to keep the cornea moist and lubricated.  Sometimes, a soft bandage contact lens will be used to help the healing process in a patient with an active erosion. Those patients who have a corneal dystrophy may require additional treatment.  This can include a procedure where the epithelium is either gently removed, or microscopic "spot welds" are made on the cornea to encourage the epithelial layer to bond securely to Bowman's Membrane. Patients, who continue to suffer from Recurrent Corneal Erosions despite the treatments described above, may benefit from Phototherapeutic Keratectomy (PTK).  This involves removal of the superficial layer of corneal cells using the Excimer Laser.

Pterygium
A pterygium is a fleshy triangular growth of tissue on the cornea that may grow slowly throughout a person’s life.  Rarely, a pterygium can grow across the cornea and block the pupil.  It can also cause blurred vision by increasing astigmatism.  People who have been exposed to higher amounts of sunlight and UV radiation are more prone to developing pterygia. Pterygia may become red, swollen and inflamed.  Occasionally they need to be removed because of chronic discomfort or to prevent vision loss.  Pterygium removal is a surgical procedure that has evolved over time with techniques to prevent regrowth of the abnormal tissue.  As a Corneal Specialist, Dr. Sise uses a surgical technique with conjunctival thin-strip auto grafting in order to prevent recurrences and obtain the best possible results for Pterygium surgery.  In most cases, special tissue glue is used for the best result and no sutures are needed.

Dry Eyes
Dry Eye Syndrome is a very common eye condition that can affect the cornea.  It is generally a chronic condition and can be progressive over time.  Anytime there is inadequate tear production, or rapid tear evaporation, the symptoms of dry eyes may become present. The symptoms of dry eyes include blurred vision and a scratchy, sandy or gritty feeling.  Occasionally a discharge is noted and in some cases, the discomfort can become severe with noticeable pain and redness.  Severe dry eye creates risk of corneal infection and scarring, as the tear film, which serves a protective mechanism, is deficient.

Fortunately, our team of physicians has a great deal of expertise in the diagnosis and treatment of dry eyes and will be able to make a treatment recommendation for your individual situation.  While no cure for dry eye currently exists, there are a number of treatments that are effective for most people.  For those patients with mild to moderate dry eyes, the first course of treatment may be to use preservative free artificial tears or lubricant eye drops.  Depending on the nature of your tear film deficiency, the physician may recommend a specific type of artificial tear that has certain characteristics in terms of salt content, viscosity or lubricity.  For patients with more severe symptoms, punctual plugs can provide significant relief.  These tiny devices are painlessly placed in the small openings present on the inner eyelid.  They work by slowing or stopping the drainage of tears from the eye.  Many cases of dry eye are related to inflammation of the tear glands or eyelids.  These patients can benefit from treatment with anti-inflammatory eye drops and occasionally pills.  One such medication is an eye drop known as Restasis® which can be used in combination with other treatments to improve symptoms and prevent worsening of dry eye. Restasis® works gradually by reducing inflammation and allowing the eye to produce healthier tears on its own over time.

If you or a family member or friend needs information or an appointment regarding a Corneal Conditions & Problems including Recurrent Corneal Erosion, Stevens-Johnson Syndrome, Dry Eye or Pterygium, please take a moment to call Eyecare Medical Group in Portland, Maine at 888-374-2020.

Eyecare Medical Group Cornea Specialists offer eye exams and treatment of all types of Corneal Conditions & Problems including Recurrent Corneal Erosion, Stevens - Johnson syndrome, Dry Eye or Pterygium in Maine. We are conveniently located for patients from Auburn, Augusta, Bangor, Bath, Berwick, Biddeford, Bridgton, Brunswick, Cape Neddick, Casco Bay, Cumberland Center, Eliot, Freeport, Gardiner, Kennebunk, Kennebunkport, Kittery, Lewiston, Old Orchard Beach, Portland, Sanford, Scarborough, South Portland, Springvale, Topsham, Waterville, Westbrook, Winslow, Wiscasset, Yarmouth, Portland, Skowhegan and York Maine.

Eyecare Medical Group in Portland, Maine is conveniently located for patients with Cataracts interested in
Cataract Surgery & Lens Implants (IOL), LASIK, Diabetic Eye Problems, Macular Degeneration (AMD), Glaucoma,
Diseases and Surgery of the Retina & Cornea including Retinal Detachment & Cornea Transplants.