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Re: eye problemsGreyling

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Yep, flu or pneumonia is the kiss of death for me. Ray
----- Original Message -----
From: "Gentry, Greyling" <greyling.gentry@xxxxxx>
To: <PARKINSN@xxxxxxxxxxxxxxxxxxxx>
Sent: Tuesday, July 19, 2005 11:25 PM
Subject: Re: eye problemsGreyling


Ray,

Not sure about watery eyes. My mom's eyes dry out because of the
constant forward staring and loss of blinking response. I encourage her
to do that eye exercise in which you "trace" the numbers one through
nine, keeping the head still and moving only the eyeballs. It is done
using the entire range of motion -- imagining the numbers as being HUGE.
I think this is helping keep her eye muscles supple.

I've heard it's very important to keep airways clear to reduce the
chances of developing aspiration pneumonia. In my mom's case, she now
has trouble swallowing and tends to choke on saliva if she falls asleep
in certain positions.

I encourage her to lean her head forward and over to one side when she's
about to doze off in her chair. That way she drools rather than inhaling
the excess saliva. A folded washcloth keeps her clothing dry, and a
towel placed at the front of her pillow collects her saliva while she's
sleeping on her side in bed. If this worsens, I may start using
absorbent incontinent pads with waterproof backing. I make sure to turn
her back onto her side if I find her sleeping on her back.

It's not easy or pleasant, any of this, but there are workarounds for
many of the more annoying symptoms. Most doctors are well-intentioned
but have simply never lived with or around Parkinson's. The tips
provided by members of this list are an absolute TREASURE to us!

All the best to you and yours,

Greyling

-----Original Message-----
From: Parkinson's Information Exchange Network
[mailto:PARKINSN@xxxxxxxxxxxxxxxxxxxx] On Behalf Of rayilynlee
Sent: Tuesday, July 19, 2005 7:49 PM
To: PARKINSN@xxxxxxxxxxxxxxxxxxxx
Subject: Re: eye problemsGreyling

Greyling, I have been thinking about your treatments for your mother for
about a week now.  I don't have mucus, but excessive watering.  I don't
think anyone really knows what it is.  I can't see how so much water can
be
dry eyes.

I do have excessive mucus from post nasal drip which chokes me.  When I
swim, treadmill or breathe deeply I really start coughing.

Thank you for sharing your ideas.  The doctors aren't such great help.
Ray
----- Original Message -----
From: "Gentry, Greyling" <greyling.gentry@xxxxxx>
To: <PARKINSN@xxxxxxxxxxxxxxxxxxxx>
Sent: Thursday, July 14, 2005 11:25 PM
Subject: Re: eye problemsKF


My mother has complained of a slimy film in her eyes ever since her
diagnosis. It's thickest in the morning and causes blurriness
throughout
the day. The ophthalmologist says the eye's way of protecting the
cornea
from damaging dryness is to produce a thickened, mucous-like
substance.
However, this is no substitute for proper hydration and a strict
regimen
of eye wetting. Permanent lens damage results from chronic dry eye.

My mom also had an infection of the lids called blephitis. This was
causing a yellowish crusting at the lash lines, adding to her vision
problems as the tear ducts became less able to do their jobs of
rinsing
the eyes.

It took a month but I got her eyes back to normal. She'll always need
someone to help her continue because it's a lot to remember:

* No makeup. Only on special occasions and remove it all right away.

* Every morning and evening, wash eyes thoroughly with a warm
washcloth
and baby shampoo.

* If needed, use antibiotic ointment (prescribed by doc) morning and
evening right after washing.

* During antibiotic ointment treatment and ever after, use Refresh PM
each morning and before sleep. This is a thick goo and you won't be
able
to read for about an hour, but it replenishes the vital moisture in
the
lens. It coats the eyes during sleep, which often happens with the
eyes
open in Parkinson's patients.

* Six to eight times throughout the day, use 1-2 drops of the extra
heavy duty artificial tears. It's a thicker solution that coats
longer.

* Very importantly, DRINK PLENTY OF LIQUID THROUGHOUT THE DAY. Big amounts at long intervals are less effective than keeping the water
jug
in reach and making yourself chug it dozens of times each day. We
found
it helpful to have her drink a few good swigs during each commercial.

We also did blinking exercises together while the commercials were on,
killing two birds with one stone. And we incorporated blinking into
her
stride by counting out together: BLINK! -- two -- three -- four.
BLINK!
-- two -- three -- four.... Now whenever she's up and about, that
plays
in her head and she remembers to blink.

I also programmed a handheld computerized reminder device for her. She
hears my voice ten times a day at predetermined times. Sometimes it
tells her to take Sinemet, sometimes to take both the Sinemet and
Requip. Sometimes it reminds her to have a non-protein snack, and
other
times she's told to be sure to eat a big bunch of protein. But every
single time, it says, "And be sure to glug down plenty of water,
Nana!"
This has helped her tremendously as the med/food regimen is complex
and
hard to remember to follow.

You can order the VoiceCue online. I think it was about $40. It's a
pain
to program and doesn't change to/from daylight savings time, but we
can't live without it.

Hope this helps!

~ Greyling


-----Original Message----- From: Parkinson's Information Exchange Network [mailto:PARKINSN@xxxxxxxxxxxxxxxxxxxx] On Behalf Of rayilynlee Sent: Thursday, July 14, 2005 12:31 PM To: PARKINSN@xxxxxxxxxxxxxxxxxxxx Subject: Re: eye problemsKF

KF

I developed eye problems about a year after my DBSs.. Excessive
watering
and
double vision which the ophthalmologist says is due to cataracts which
are
not ready to be removed yet.  I wear progressive lenses.  Boy is it
annoying.  It is unclear whether this or my speech difficulty is
DBS/PD
related or not.  This disease has way too many symptoms.
Ray
----- Original Message -----
From: "KF Etzold" <etzold@xxxxxxxxxx>
To: <PARKINSN@xxxxxxxxxxxxxxxxxxxx>
Sent: Tuesday, July 12, 2005 9:12 AM
Subject: eye problems


Carline uses a contact lens (she had a cataract removed in on eye).
When I
remove her lens at night there is usually a filmy deposit on the the
lens.
This of course greatly diminishes the quality of her vision.

Has anybody experienced films of slimy material in their eyes? She
seems
to
get these deposits even without the lens, but less so. She seems to
blink
less.
Does anybody know of blinking exercises for the eyes?

She also has a tendency to close her eyes, or squint. Often she keeps
one
eye or the other closed. she rarely opens her eyes fully. Comments?

K. F. Etzold CG Carline


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