Topical ocular antihypertensive medications can be a reasonable starting point for the treatment for blind, painful eye secondary to high IOP. Miotics are usually ineffective and could aggravate ocular irritation. When ocular ischemia or uveitis are the underlying cause of the ocular pain, topical anti-inflammatory medications such as perdnisolone acetate 1% could serve as a good adjunctive therapy (dosage: one to four times a day).
If the patient’s eyes have corneal decompensation, it may be necessary to administer topical antibiotic steroid ointment or drops to prevent infection. Topical saline solutions may also be considered in this condition to achieve quiet eyes and ocular comfort.
The patient with blind, painful eyes may ultimately choose to undergo enucleation or evisceration procedure. Your oculoplastic surgeon may prefer evisceration procedure for cosmetic reasons. In cases where an intraocular tumor is suspected, enucleation may be a better option. This will require a definitive diagnosis before the treatment approach is finalized.
Enucleation and evisceration treatment options should be discussed with the patient early on to address their condition of blind, painful eyes. The eye surgeon will most likely begin with medical therapy or a laser procedure. It can provide some comfort from the pain as well as support the patient’s psychological and emotional well-being.
However, eventually, evisceration or enucleation will prove to be the best treatment option for most patients. Patients may regain their normal appearance from a skillfully performed evisceration procedure, and may obtain permanent relief from chronic pain. With these results, the patient can achieve maximum satisfaction and a lasting resolution to their condition.
Step by Step Treatment
Management of the painful, blind eye can be a challenging process. An experienced oculoplastic surgeon will adopt a step by step treatment approach, which minimizes the dependence on topical medications. If the blind, painful eye responds poorly to laser or medical therapies, and is cosmetically unattractive, evisceration or enculeation may be the best treatment options available to a patient.
Eye surgeon Dr. Jennifer Hui receives patients from Palm Springs, Palm Desert, La Quinta, Coachella Valley, Riverside, Redlands, Yucaipa, Loma Linda, and nearby areas for blind, painful eye treatment and various other eye procedures.
Contact Palm Springs Oculoplastic Eye Surgeon, Dr. Jennifer Hui for a Consultation
For more information about cosmetic surgery and nonsurgical eye treatments and procedures performed by Oculoplastic Eye Surgeon Dr. Jennifer Hui for patients in and around Palm Springs, La Quinta, Coachella Valley, Palm Desert, Riverside, Redlands, Yucaipa, Loma Linda, California and surrounding areas call 760.610.2677 or click here to contact us.