Dry eyes can absolutely be a cause of RCE. We see this a lot, especially because your eyes can get much drier at night when you sleep. Oftentimes, when you wake up in the morning, you open your eyelids and those eyelids just take part of your cornea along with them. Yikes! This can occur when your eyes are very dry. There are a couple things that can be done for RCE. We use bandage contact lenses very often, especially with bad erosions. This can help heal the erosion more quickly and can decrease pain. With a bandage contact lens, you’ll also be on antibiotics to prevent infection during wear. For pain, we recommend taking whatever you normally take for pain. This may include Ibuprofen or Tylenol (either is fine). If you have experienced RCE before and are more prone to it, we also recommend using an ointment like Muro 128 5% or Sochlor Ointment 5%. These are both used once the cornea is healed to pull edema out of the cornea. Both choices are over the counter and easy to find. We recommend using that every night when you go to bed.
If your cornea is inflamed or it’s swollen, that’s going to cause glare. If your cornea has dryness, this could also cause glare but it’s not the main cause. Most of the time, blinding light during the day is going to be due to the sun reflecting off of these flat surfaces. Getting a pair of polarized sunglasses is going to help with that. Make sure the sunglasses are polarized. When the sun reflects off of a surface, the polarized lenses will block all that glare. You can test if you have polarized sunglasses by turning your head completely side ways, which will bring the glare right back because you are letting the light right back in. You can also take off your sunglasses and look at your computer screen through the glasses. Rotate them zero to 180 degrees and your screen will go black if the lenses are polarized. Different materials such as metal, chrome, and glass can be bad for glare. If the sun is shining directly at that flat surface, sometimes there’s not much you can do about the glare. Everybody is going to notice it even without dry eyes.
Do you have experience with recurrent erosions? How about daytime glare? Let us know what we can help you with in the comments below!
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