How was the visit?
It was a really positive experience (2 hours) and he gave me some very good suggestions for managing my condition. He clearly cares for the patients and shared about his own personal struggles with Dry Eye. Dr. Jensen and I talked a great deal about my extensive regimen. His comment was (I’m paraphrasing):
“I see a lot of patients that are using a laundry list of medications and remedies. When I ask them what the diagnosis is, they say, ‘dry eye.’
But then I ask again, ‘what is the actual diagnosis? What is causing those symptoms?’
They can’t answer because the real underlying cause has not been identified. In many cases, they were prescribed medicines or therapies without receiving a diagnosis at all. Often times, things they may perceive to be helping (drops/medicines/regimens) may not be. They may just appear to work on a given day because their dry eye symptoms wax and wane. This is why I try to avoid prescribing or recommending a course of action until the condition can be diagnosed. Diagnose then treat. Not the other way around.”
What does this mean for us?
We may be taking more things than we need. When my dry eye gets really bad. I get desperate. I throw money at it. Anything that might help I pile it on to the list. In some cases, we may be doing things to make it worse. Personally, I’ve been able to reduce my reliance on OTC eye drops and medications since having Lipiflow and using the following strategies:
I’ve been updating my regimen reduction on the website as I’m able to eliminate things.
What does he recommend?
One interesting strategy Dr. Jensen recommended was to isolate certain treatments to one eye to make sure it is working. Example: Using Systane on one eye consistently and Simulasan on the other.
Was he able to diagnose my symptoms?
Unfortunately, no. Dr. Jensen said he would need to reverse engineer or “back into the diagnosis” by working with me over a few weeks. But he gave me some good suggestions which will be in my next blogs.
About Dr. Jensen
Dr. Paul Jensen has over 25 years of experience in treating difficult cases. He is a published author, researcher, and frequently lectures across the US to train doctors in advanced dry eye disease care. A Seattle native, Dr. Jensen is a graduate of the University of Washington and the University of California, Berkeley, School of Optometry. Visit his website at https://nwdryeyecenter.wordpress.com
Bluesifyin' LASIK Dry Eye sufferer. Read my blog to get tips, struggles, blues, reviews, whatever on this journey through hell.