"" Focus Frenzy: Eyes
Showing posts with label Eyes. Show all posts
Showing posts with label Eyes. Show all posts

Monday, July 7, 2025

Living with Epithelial Basement Membrane Dystrophy

An eye update from Austin's Mom:

As posted previously, Austin recently visited his ophthalmologist to discuss the persistent halos he's been experiencing. During his last appointment in October 2024, the doctor advised him to wear his glasses more consistently. Austin has been following that advice, wearing his glasses all day, every day, for the past eight months. Despite this, as of June 2025, he continues to see halos.

To re-iterate the last post, during the June 2025 visit, the doctor suggested that a new pair of glasses might help. She also mentioned that Austin has scars on both eyes. She previously noted a scar on his right eye resulting from a severe Recurring Corneal Tear he experienced last June 2024. I mentioned to her that I believed he had only one scar, but she said he had two scars last year. I'm unsure why there would be a scar on his left eye unless it was from a prior or recent corneal tear we are unaware of. Perhaps the dystrophy itself can cause the scarring without the trauma of a tear. I don't know.


image courtesy of Victoria Poveda via Upwork

Interestingly, the left eye, which has the worse halo, is the one with the the least trauma. However, the new glasses haven't made much difference in reducing the halos, which continue to significantly impact his vision.

Austin isn't expecting a cure for the halos. Based on the research for the recent blog post about halos, there is currently no cure. He simply wants to be heard and to have his experience documented, as this is a challenge that will affect him for the rest of his life.

The Epithelial Basement Membrane Dystrophy (EBMD) is a common cause of these halos. It’s possible that the scars resulting from the Recurring Corneal Erosion (RCE) he experienced last summer are also contributing to the issue; however, his ophthalmologist seems confident that these scars shouldn’t interfere with his vision. As someone who sees Austin daily, I disagree—something is definitely affecting his sight. My research has revealed that corneal scars as well as EBMD can impair vision by blocking or distorting light as it enters the eye.

Thankfully, several measures have helped prevent further RCE episodes. Austin takes 1000 mg of vitamin C daily, uses a humidifier filled with distilled water each night, applies a heated mask twice daily to promote tear production, uses two prescription preservative-free cycloSPORINE eyedrops daily, and applies two OTC Biotrue preservative-free lubricant drops daily (more frequently when his eyes feel dry). These routines have been effective in preventing new erosions.

However, because of the fragile nature of EBMD, even minor irritants—such as a foreign object, a gust of wind, or sweat—can cause enough irritation or drying to tear the cornea. Austin needs to be very cautious to protect his eyes. He must avoid sitting near fans, being outdoors on windy days, or letting sweat get into his eyes. Rubbing his eyes is also strictly off-limits, which makes keeping his eyes moist and free of foreign objects essential.

Dr. Monica mentioned that she has never seen anyone as young as Austin with this condition. Research indicates that most people experience their first symptoms after age 40, yet Austin was only 25 when his symptoms began and 27 when they worsened significantly.

So, although his eye chart test shows that Austin has decent visual acuity, his halos tell a different story. During a flare-up last year, he was essentially legally blind—unable to read the chart at all with his right eye. During those episodes, his vision was so impaired that he could only open his eyes partially, as any light was unbearable. His right eye was the focus of most of his eye care visits, but his left eye also experienced blurriness and mild discomfort, even though there was no corneal tear to that eye at that time.

Due to his condition, Austin can't drive, and everyday activities are tedious. He’s constantly trying to see "around" the halos, searching for a way to function despite the visual disturbances. So, we ask for your prayers as this continues to play out in his life.

More information about EBMD can be found at the following links:

Wikipedia 

EyeWiki

Corneal Dystrophy Foundation

Monday, June 16, 2025

Seeing Halos?

If you're seeing halos, you're not alone—I experience them too. Based on my research, halos accompanied by pain can indicate a more serious issue. Optometrists.org has a helpful article about this problem. Thankfully, I'm not experiencing any pain with my halos. But because they are bothersome, I’ve discussed this problem with my ophthalmologist: in October 2024, she advised me to wear my glasses more often. After following that advice and wearing my glasses daily, all day, I saw her again in June 2025. She then mentioned that these particular glasses might be contributing to the halo problem.

My prescription didn’t change much, but I decided to get new glasses anyway to see if that might help. I should receive them in a few days, and I’ll post an update here if I notice any changes.


image courtesy of CDC via Unsplash

What’s tricky is that I didn’t have halos when I first started wearing my current glasses, nor when I went without glasses for extended periods. The halos appeared a few months before I was diagnosed with dry eye, epithelial basement membrane dystrophy, and recurring corneal erosion. My ophthalmologist has, at least, ruled out any serious conditions that could be causing the halos. She also mentioned that my eyes are now retaining water due to the daily drops and treatments I’ve been using for the past 8 months—treatments I will continue using for the rest of my life to help prevent another corneal tear. Or at the very least reduce the number of corneal tears over my lifetime.

Besides the dry eye, which is not chronic at this point, I do have severe astigmatism that can cause halos. But I've had severe astigmatism since I was 18 months old.  Also, according to Optometrists.com, corneal shape and integrity could be a contributing factor based on my EBMD diagnosis. So, these are things I can ask about on my next visit with my ophthalmologist if the halos continue after I've worn my new pair of eyeglasses for a few months. 

If you have a another idea as to why I may be seeing halos (not chronic) and what may help, feel free to drop a message in the comments section.

Austin

Feel Seen and Safe

Today, we want to focus on feeling seen and safe . Because we feel that this is an important message for others who are struggling with ADD,...