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	<title>Comments for Dr Kisling-Fort Collins Eye Doctors Choice</title>
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	<link>http://drkisling.com</link>
	<description>Fort Collins Eye Doctors Breaking News- Eye Treatments,Contact Lenses, Dry Eyes, Glaucoma, LASIK Vision Surgery,Eye Supplements, Pinkeye,Eyecare and Eyeglasses</description>
	<lastBuildDate>Tue, 17 Nov 2009 07:18:43 -0700</lastBuildDate>
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		<title>Comment on Swine Flu H1N1 and Eye Complications by admin</title>
		<link>http://drkisling.com/2009/10/02/swine-flu-h1n1-eye-complications/comment-page-1/#comment-453</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Tue, 17 Nov 2009 07:18:43 +0000</pubDate>
		<guid isPermaLink="false">http://drkisling.com/?p=733#comment-453</guid>
		<description>Hi Lauren,

Thanks for your suggestion. Punctuation has never been my strong point. If you see them in the future please let me know where they are.</description>
		<content:encoded><![CDATA[<p>Hi Lauren,</p>
<p>Thanks for your suggestion. Punctuation has never been my strong point. If you see them in the future please let me know where they are.</p>
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		<title>Comment on Swine Flu Causing PinkEye by admin</title>
		<link>http://drkisling.com/2009/04/27/swine-flu-causing-pinkeye/comment-page-1/#comment-452</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Tue, 17 Nov 2009 07:16:31 +0000</pubDate>
		<guid isPermaLink="false">http://drkisling.com/?p=250#comment-452</guid>
		<description>Hi Tanya,

The current swine flu strain has not seen significant reports of pinkeye but I&#039;m sure it is occurring occasionally. If pinkeye occurs along with flu like symptoms there is a good chance it is viral and will go away in about a week. Any eye that has discharge that is not clear, sticks together in the morning, and is painful or blurry needs to be seen. Some viral infections that are less common can last for months, even a year. These usually will cause discomfort and a reduction in vision that leads people to seek care. Herpes viral infections can cause blindness if not treated-so not all viral infections are innocuous. There has been a trend the last five years or so to not treat most mild viral infection with antibiotics, in the eye or in the body as in a cold. Practitioners have become concerned with creating mutations and creating antibiotic resistant bugs. Personally, I almost always treat viral eye infection with an antibiotic and an anti-inflammatory drop. I am not convinced using antibiotics in the manner prescribed is significant in antibiotic resistance. I believe the massive routine dosing of farm animals with antibiotics worldwide and the inconsistent and inadequate dosing levels used in under developed countries is the primary factor in bacterial resistance. Treating viral eye infections with antibiotics prevents secondary bacterial infections and the anti-inflammatory drops make your eyes feel much less irritated. Of course the end result is usually the same, it goes away in about a week. -Hope You Are Feeling Better.</description>
		<content:encoded><![CDATA[<p>Hi Tanya,</p>
<p>The current swine flu strain has not seen significant reports of pinkeye but I&#8217;m sure it is occurring occasionally. If pinkeye occurs along with flu like symptoms there is a good chance it is viral and will go away in about a week. Any eye that has discharge that is not clear, sticks together in the morning, and is painful or blurry needs to be seen. Some viral infections that are less common can last for months, even a year. These usually will cause discomfort and a reduction in vision that leads people to seek care. Herpes viral infections can cause blindness if not treated-so not all viral infections are innocuous. There has been a trend the last five years or so to not treat most mild viral infection with antibiotics, in the eye or in the body as in a cold. Practitioners have become concerned with creating mutations and creating antibiotic resistant bugs. Personally, I almost always treat viral eye infection with an antibiotic and an anti-inflammatory drop. I am not convinced using antibiotics in the manner prescribed is significant in antibiotic resistance. I believe the massive routine dosing of farm animals with antibiotics worldwide and the inconsistent and inadequate dosing levels used in under developed countries is the primary factor in bacterial resistance. Treating viral eye infections with antibiotics prevents secondary bacterial infections and the anti-inflammatory drops make your eyes feel much less irritated. Of course the end result is usually the same, it goes away in about a week. -Hope You Are Feeling Better.</p>
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		<title>Comment on Swine Flu Causing PinkEye by Tanya Willems</title>
		<link>http://drkisling.com/2009/04/27/swine-flu-causing-pinkeye/comment-page-1/#comment-446</link>
		<dc:creator>Tanya Willems</dc:creator>
		<pubDate>Sun, 15 Nov 2009 19:27:50 +0000</pubDate>
		<guid isPermaLink="false">http://drkisling.com/?p=250#comment-446</guid>
		<description>That for sure just happened to me. I had every symptom of the swine flu and went home, and then about 4 days into it, I started showing symptoms of pink eye. The strangest thing is that I also live in Fort Collins, and I just google searched &quot;pink eye and swine flu&quot; and sure enough it came up in Fort Collins. So is it a viral infection, or should I try to go to the doctor to get prescribed an antibacterial?</description>
		<content:encoded><![CDATA[<p>That for sure just happened to me. I had every symptom of the swine flu and went home, and then about 4 days into it, I started showing symptoms of pink eye. The strangest thing is that I also live in Fort Collins, and I just google searched &#8220;pink eye and swine flu&#8221; and sure enough it came up in Fort Collins. So is it a viral infection, or should I try to go to the doctor to get prescribed an antibacterial?</p>
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		<title>Comment on Swine Flu H1N1 and Eye Complications by Lauren Nichols</title>
		<link>http://drkisling.com/2009/10/02/swine-flu-h1n1-eye-complications/comment-page-1/#comment-334</link>
		<dc:creator>Lauren Nichols</dc:creator>
		<pubDate>Tue, 06 Oct 2009 22:59:47 +0000</pubDate>
		<guid isPermaLink="false">http://drkisling.com/?p=733#comment-334</guid>
		<description>Please in the future be sure to proof read your articles. It is difficult to follow when proper punctuation is not in place.  Thank you.</description>
		<content:encoded><![CDATA[<p>Please in the future be sure to proof read your articles. It is difficult to follow when proper punctuation is not in place.  Thank you.</p>
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		<title>Comment on Lupus Eye Picture by Jack</title>
		<link>http://drkisling.com/2009/07/18/lupus/comment-page-1/#comment-269</link>
		<dc:creator>Jack</dc:creator>
		<pubDate>Tue, 29 Sep 2009 07:06:47 +0000</pubDate>
		<guid isPermaLink="false">http://drkisling.com/?p=642#comment-269</guid>
		<description>Lupus causes it to assault normally functioning, healthy tissues. Symptoms are: inflammation and harm to the joints, skin, blood, heart, lungs and kidneys etc. It has severe effects like: kidney damage, breathing distress. To prevent it, one should lead healthy lifestyle, have balanced diet, do regular low intensity exercise, one should always seek doctors consultation.</description>
		<content:encoded><![CDATA[<p>Lupus causes it to assault normally functioning, healthy tissues. Symptoms are: inflammation and harm to the joints, skin, blood, heart, lungs and kidneys etc. It has severe effects like: kidney damage, breathing distress. To prevent it, one should lead healthy lifestyle, have balanced diet, do regular low intensity exercise, one should always seek doctors consultation.</p>
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		<title>Comment on Glaucoma Eye Pressure Readings by larry reece</title>
		<link>http://drkisling.com/2009/07/21/glaucoma-eye-pressure-readings/comment-page-1/#comment-264</link>
		<dc:creator>larry reece</dc:creator>
		<pubDate>Sat, 26 Sep 2009 18:02:27 +0000</pubDate>
		<guid isPermaLink="false">http://drkisling.com/?p=653#comment-264</guid>
		<description>I have had 0  eye pressure for about  5 weeks following an operation to tie off a shunt which was installed about 12 weeks before.what can be done to bring pressure back?</description>
		<content:encoded><![CDATA[<p>I have had 0  eye pressure for about  5 weeks following an operation to tie off a shunt which was installed about 12 weeks before.what can be done to bring pressure back?</p>
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		<title>Comment on Eye Doctors and  Pass The Prozac Rx For Floaters-Eye Symptoms That Should Have Alternative Treatment by admin</title>
		<link>http://drkisling.com/2009/04/08/eye-doctors-and-pass-the-prozac-rx-for-floaters-eye-symptoms-that-should-have-alternative-treatment/comment-page-1/#comment-226</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Thu, 17 Sep 2009 05:27:56 +0000</pubDate>
		<guid isPermaLink="false">http://drkisling.com/?p=172#comment-226</guid>
		<description>I am sorry to hear about your experience. I am not aware of any studies associating Prozac with vitreous floaters and there would be no warning of this as a side effect normally given. Prozac (Fluoxetine). Prozac and other related type drugs do have numerous actions in the eye which are poorly understood at the present time

Most commonly, they can cause a mild dilation of the pupil and precipitate an attack of angle closure glaucoma. This would occur in people who are already susceptible to this form of glaucoma due to their eye anatomy. Usually they will develop it at some point even if not exposed to Prozac. This would usually cause a rapid onset of a red ,painful eye with nausea and not the type of floaters you describe. Some individuals may have a mild transient rise in their eye pressure for several weeks, then a return to normal. Although it would be very unlikely, a fluctuation from high to normal could help precipitate a vitreous detachment with floaters. Since Prozac has a long half life, it would not give swings in pressure that could possible contribute to such an event. 

Prozac may cause cellular changes to the retina or tissue under it but again, this would be unlikely to be the cause of your floaters. 

Most likely, you suffered a vitreous detachment unrelated to the medication. Floaters do tend to settle down and become less noticeable with time. As we age, a substance called hyaluronic acid degrades and releases water bound to it, contributing to the liquification of the vitreous gel inside the eye. There is some evidence that free radicals in our dietary intake may hasten this process.  Eventually the vitreous detaches from the retina. Age is relative, in nearsighted patients this may occur in their twenties. An inflammation or infection inside the eye may also cause floaters. 

Anything is possible, an autoimmune response in the eye to Prozac, structural cellular changes to the fluid or the retina where the fluid connects, changes to circulation of the some of the eye tissues from Prozac. These are just highly unlikely.
There is a very good chance your vision will improve with time.

If you have not done so already I would see an eye doctor to make sure there is not another serious problem or disease occurring. There are treatments for debilitating floaters but they come with their won ricks.  I would encourage you to report your problem to the FDA at:    https://www.accessdata.fda.gov/scripts/medwatch/medwatch-online.htm
Sometimes, connections are not made between drug side effects the pharmaceutical due to lack of reports. Unfortunately, there are always very rare cases of reactions specific to one person that in the case of a drug like Prozac, having been administered in millions of doses with no similar reports, will always be an unknown. 

Keep in mind that almost all of the population will eventually develop floaters with age, and almost all adapt with time. I recently saw an individual who had a floater lasered (3 times)-but was still happy with the results. This is not standard of care and currently being done by one two eye doctors, this one on Florida. Someday it could become a quick,acceptable cure.

Best Luck</description>
		<content:encoded><![CDATA[<p>I am sorry to hear about your experience. I am not aware of any studies associating Prozac with vitreous floaters and there would be no warning of this as a side effect normally given. Prozac (Fluoxetine). Prozac and other related type drugs do have numerous actions in the eye which are poorly understood at the present time</p>
<p>Most commonly, they can cause a mild dilation of the pupil and precipitate an attack of angle closure glaucoma. This would occur in people who are already susceptible to this form of glaucoma due to their eye anatomy. Usually they will develop it at some point even if not exposed to Prozac. This would usually cause a rapid onset of a red ,painful eye with nausea and not the type of floaters you describe. Some individuals may have a mild transient rise in their eye pressure for several weeks, then a return to normal. Although it would be very unlikely, a fluctuation from high to normal could help precipitate a vitreous detachment with floaters. Since Prozac has a long half life, it would not give swings in pressure that could possible contribute to such an event. </p>
<p>Prozac may cause cellular changes to the retina or tissue under it but again, this would be unlikely to be the cause of your floaters. </p>
<p>Most likely, you suffered a vitreous detachment unrelated to the medication. Floaters do tend to settle down and become less noticeable with time. As we age, a substance called hyaluronic acid degrades and releases water bound to it, contributing to the liquification of the vitreous gel inside the eye. There is some evidence that free radicals in our dietary intake may hasten this process.  Eventually the vitreous detaches from the retina. Age is relative, in nearsighted patients this may occur in their twenties. An inflammation or infection inside the eye may also cause floaters. </p>
<p>Anything is possible, an autoimmune response in the eye to Prozac, structural cellular changes to the fluid or the retina where the fluid connects, changes to circulation of the some of the eye tissues from Prozac. These are just highly unlikely.<br />
There is a very good chance your vision will improve with time.</p>
<p>If you have not done so already I would see an eye doctor to make sure there is not another serious problem or disease occurring. There are treatments for debilitating floaters but they come with their won ricks.  I would encourage you to report your problem to the FDA at:    <a href="https://www.accessdata.fda.gov/scripts/medwatch/medwatch-online.htm" rel="nofollow">https://www.accessdata.fda.gov/scripts/medwatch/medwatch-online.htm</a><br />
Sometimes, connections are not made between drug side effects the pharmaceutical due to lack of reports. Unfortunately, there are always very rare cases of reactions specific to one person that in the case of a drug like Prozac, having been administered in millions of doses with no similar reports, will always be an unknown. </p>
<p>Keep in mind that almost all of the population will eventually develop floaters with age, and almost all adapt with time. I recently saw an individual who had a floater lasered (3 times)-but was still happy with the results. This is not standard of care and currently being done by one two eye doctors, this one on Florida. Someday it could become a quick,acceptable cure.</p>
<p>Best Luck</p>
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		<title>Comment on Eye Doctors and  Pass The Prozac Rx For Floaters-Eye Symptoms That Should Have Alternative Treatment by tom</title>
		<link>http://drkisling.com/2009/04/08/eye-doctors-and-pass-the-prozac-rx-for-floaters-eye-symptoms-that-should-have-alternative-treatment/comment-page-1/#comment-225</link>
		<dc:creator>tom</dc:creator>
		<pubDate>Thu, 17 Sep 2009 01:13:55 +0000</pubDate>
		<guid isPermaLink="false">http://drkisling.com/?p=172#comment-225</guid>
		<description>Prozac causes floaters! I had extremely good vision, no floaters at all within two weeks of taking Prozac I had a very bad floater appear. then more started. I quit Prozac and most went away except for the really bad one in my right eye and a few smaller ones in both eyes. It&#039;s very upsetting. My life work depends on my good eyesight and now I fear it&#039;s ruined for life. I&#039;m a young man I don&#039;t want to be blinded like this. Why wasn&#039;t I warned about this? I would never have taken the damned Prozac if I thought it would blind me!</description>
		<content:encoded><![CDATA[<p>Prozac causes floaters! I had extremely good vision, no floaters at all within two weeks of taking Prozac I had a very bad floater appear. then more started. I quit Prozac and most went away except for the really bad one in my right eye and a few smaller ones in both eyes. It&#8217;s very upsetting. My life work depends on my good eyesight and now I fear it&#8217;s ruined for life. I&#8217;m a young man I don&#8217;t want to be blinded like this. Why wasn&#8217;t I warned about this? I would never have taken the damned Prozac if I thought it would blind me!</p>
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		<title>Comment on Eye Doctors and  Pass The Prozac Rx For Floaters-Eye Symptoms That Should Have Alternative Treatment by admin</title>
		<link>http://drkisling.com/2009/04/08/eye-doctors-and-pass-the-prozac-rx-for-floaters-eye-symptoms-that-should-have-alternative-treatment/comment-page-1/#comment-180</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Wed, 02 Sep 2009 06:48:15 +0000</pubDate>
		<guid isPermaLink="false">http://drkisling.com/?p=172#comment-180</guid>
		<description>All good comments. Vitamin A is a touchy issue with smokers and probably should be avoided until we know a little more. It is usually avoided in macular degeneration supplements for smokers. Of course smoking is about the worse thing you can do if you have macular degeneration or any eye disease (or want to avoid eye diseases). Selenium is a case where some is good and too much is bad. Good circulation is key to so many eye diseases. Gingko, like so many nutrients can be bad in excessive doses but also shows some promise as a potential protective agent for the optic nerve in glaucoma, hopefully more studies will be done in the future. Thanks for the comments.</description>
		<content:encoded><![CDATA[<p>All good comments. Vitamin A is a touchy issue with smokers and probably should be avoided until we know a little more. It is usually avoided in macular degeneration supplements for smokers. Of course smoking is about the worse thing you can do if you have macular degeneration or any eye disease (or want to avoid eye diseases). Selenium is a case where some is good and too much is bad. Good circulation is key to so many eye diseases. Gingko, like so many nutrients can be bad in excessive doses but also shows some promise as a potential protective agent for the optic nerve in glaucoma, hopefully more studies will be done in the future. Thanks for the comments.</p>
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		<title>Comment on Lupus Eye Picture by admin</title>
		<link>http://drkisling.com/2009/07/18/lupus/comment-page-1/#comment-178</link>
		<dc:creator>admin</dc:creator>
		<pubDate>Wed, 02 Sep 2009 06:35:35 +0000</pubDate>
		<guid isPermaLink="false">http://drkisling.com/?p=642#comment-178</guid>
		<description>Autoimmune diseases can be so wearing an hard. If you haven&#039;t investigated alternative medicine or Complimentary Alternative Medicine (CAM) as it is sometimes referred to you might ask your family Doc for recommendations. Low dose antidepressant medications can also be a godsend for some people with chronic pain problems (not due to the antidepressant effect) so I would ask about that also. Pain is often very under treated and results in chronic depression. The RA may be causing dry eye and other symptoms. There are lots of tests for dry eyes but none are really good. If they feel dry and sting you probably have dry eyes. Find someone who will try treating it. Ask your family Doc about trying Omega 3-it could help the dry eye and the RA, it just takes a few months.</description>
		<content:encoded><![CDATA[<p>Autoimmune diseases can be so wearing an hard. If you haven&#8217;t investigated alternative medicine or Complimentary Alternative Medicine (CAM) as it is sometimes referred to you might ask your family Doc for recommendations. Low dose antidepressant medications can also be a godsend for some people with chronic pain problems (not due to the antidepressant effect) so I would ask about that also. Pain is often very under treated and results in chronic depression. The RA may be causing dry eye and other symptoms. There are lots of tests for dry eyes but none are really good. If they feel dry and sting you probably have dry eyes. Find someone who will try treating it. Ask your family Doc about trying Omega 3-it could help the dry eye and the RA, it just takes a few months.</p>
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