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arpie's avatar
arpie
Member
5 years ago

Your eyes and AIs and chemo

I’ve noticed that my eyes are extremely dry and have more floaters over the last 2 years since on AIs .... sometimes it is almost like a thin veil is over my eyes that I am looking thru ... yet when I get my eyes tested, they don’t see anything ‘unusual’! 

AIs tend to dry out the mucous membranes, and the lubrication in your eyes is also a type of mucous membrane.

https://www.aao.org/eyenet/article/watch-ocular-effects-of-breast-cancer-drugs?fbclid=IwAR1bXAgw-O2o0YkslsG3hnDqyujUmCp7hBiBWJmyYF-1KIVQmb-M80ekUx0#disqus_thread
  • I have a condition called Sjogren's which means I don't produce tears as normal. If I cry, I produce tears, but otherwise, through the day and night, I don't. My eyes ended up feeling as if I'd had sand blown into them all the time. My optometrist prescribed me Xailin gel, which can be bought from most optometrists, and costs me $17.00. There are slightly cheaper products available from pharmacies, but they have preservatives which burn my eyes. I've been told not to use saline based liquid eye drops, because as the water evaporates from the surface of the eye, micro crystals of salt (saline) are left on my eyeballs, and they in turn scratch the surface. At first I thought this was just a marketing rip off for a relatively pricey item, but have never gone back now, for over two years. I use an ointment based gel at night, as when (and if) I sleep, my eyes are not fully closed, but open a tiny slit, and this exacerbates the problem. This is only my experience, and I suggest any eye problems are discussed with an appropriate professional. I also have vitreous detachment which causes floaters and a constant sensation that something is moving in my peripheral vision...kind of like net curtains blowing at the side window. I also have cataracts forming in both eyes, so don't bugger around with them.
  • @arpie I had dry eyes when I started a month of letrozole (part of a trial) followed by chemotherapy 6 months ago. My optometrist had already  recommended one set of drops - Thera tears - in individual vials. Now she’s suggested a couple of other drops for dry eyes including a manuka one. I always have a couple of vials in my pocket for when my eyes start to feel dry. I had started massaging my eyelids for pre-existing meibomiam gland dysfunction, but I’ve now an additional oil replacement drop - Nova tears to help with that.
    Not having eyelashes means pollen and dust get in easier, so regular saline wash is a good idea, too.
    sunglasses are very important to help protect eyes as is staying hydrated.

  • The AI's are drying up everything else, now the eyes have it! :/
  • The BC Nurse recently educated me re changes to eye vision. I noticed that even when wearing my glasses, my vision was blurry or simply not up to scratch. She explained that certain chemo (and steroids) can alter the quality of your eye vision. I have ordered a stronger set of lenses after the optometrist confirmed the deterioration (may be temporary).

    ...and I just learned a little more about floaters - thank you 
  • Floaters get more common as you age. And they can be very annoying. Unfortunately the only thing that is known will clear them is a vitrectomy - I had to have one after a bleed during a cataract operation, cleared up the floaters wonderfully. But NOT recommended for floaters only! 
  • Just another thing that we have to be aware of unfortunately, @FLClover .... hubby has saline 'squeezers' for his wet macular (he is virtually blind in one eye & has 4-6 weekly injections into the eye) so I may start using them to 'wash out' my eyes on a regular basis.  It is really annoying when the 'film' descends .... I blink really hard to try & clear it but it doesn't always work.