Maria’s struggle with eye pain didn’t develop overnight. Living with a chronic condition that affects the mucous membranes throughout her body, she understood it could impact more than just her breathing. But when severe eye pain started disrupting her daily life, she knew she needed specialized care to address the complexity of her situation.
Maria’s eyes showed more than irritation—they reflected a persistent, uncomfortable reminder of how interconnected her body’s systems truly are. Her chronic condition, affecting both her lungs and eyes, has led to a severe type of dry eye known as filamentary keratitis. Her symptoms of dry eye created painful, string-like formations on the eye’s surface, making even simple tasks like reading or watching TV unbearable.
When Maria first visited Dr. Lindsay Harris at Assil Gaur Eye Institute, she was suffering from severe eye pain that greatly affected her quality of life. Dr. Harris quickly recognized the complexity of Maria’s case and understood that her causes of dry eye also involved her ongoing lung condition. This was causing systemic problems that required a comprehensive treatment plan.
Maria recalls, "I had a painful condition, and I went to Dr. Harris." Dr. Harris started exploring different treatment options, understanding that Maria’s filamentary keratitis would require specialized care beyond typical dry eye treatments.
Because of Maria’s condition, Dr. Harris advised her to make an appointment with another specialist who has specific experience with her lung condition – a collaborative approach Dr. Harris often uses to ensure patients like Maria get the most complete and appropriate care.
However, when Maria tried to schedule an appointment with the specialist, she encountered significant obstacles. “I tried to see this doctor, but scheduling was challenging, and they were always moving my appointment,” Maria explains. The frustrating delays in getting care meant her painful dry eye symptoms continued without relief.
Maria returned to Dr. Harris, who welcomed her back and committed to exploring additional state-of-the-art treatment options. Recognizing that conventional treatments weren’t enough for Maria’s complex case, Dr. Harris developed a multifaceted treatment plan using advanced therapies to address the root causes of her symptoms.
The comprehensive treatment plan included compounded eye drops tailored and ordered specifically for Maria’s unique needs, platelet-rich plasma (PRP) eye drops derived from her own blood to harness her body’s natural healing abilities, and BioTissue stem cell membrane treatment for corneal rejuvenation.
PRP eye drops are an advanced, biologically based treatment that harnesses the regenerative properties of platelets from the patient’s own blood. Like autologous serum eye drops, PRP drops are even more effective for treating severe ocular surface disorders with significant epithelial defects and inflammation, making them a good choice for Maria’s filamentary keratitis.
Although Maria knew that Dr. Harris wouldn’t be able to fully cure her chronic dry eye because of her ongoing lung condition, the care she received has been life-changing. The combination of specialized treatments and Dr. Harris’s persistent dedication to finding solutions has significantly eased her symptoms.
“I feel a lot better and am very happy with the results,” Maria says, reflecting on her treatment experience. The reduction in her eye pain has enabled her to return to daily activities that were once too uncomfortable to enjoy.
What impressed Maria most was Dr. Harris’s dedication to her care, even when traditional referral options didn’t work. “I would definitely recommend Dr. Harris to anyone because she spent time with me and helped me,” she emphasizes.
Maria’s experience highlights the importance of selecting an eye care provider who understands complex medical issues and is willing to explore innovative treatment options when standard methods are not effective.
“I know Dr. Harris did everything she could, and my eyes have improved,” Maria concludes. Her story inspires others facing complex eye conditions by showing that with the right specialist and persistent care, significant improvement is possible, even in the most difficult cases.
At Assil Gaur Eye Institute, patients like Maria receive more than just medical treatment—they find a healthcare team dedicated to exploring every possible option for relief and improvement, no matter how complex their condition may be.
Under Dr. Assil’s leadership, the Assil Gaur Eye Institute has assembled a team of top ophthalmology and optometry specialists from across the country who continue AGEI’s tradition of providing patients with the highest quality specialist eye care in the United States.
Today, the Assil Gaur Eye Institute is nationally recognized for its compassionate, patient-centered care, its commitment to pioneering advances in ophthalmology, and its dedication to supporting the health and well-being of its patients and community.
Assil Gaur Eye Institute offers numerous cutting-edge dry eye treatments like TearCare, BlephEx®, IPL, PRP eye drops, and amniotic membrane grafts to restore a healthy tear film and protect your cornea.
We also help manage chronic dry eye associated with LASIK, Sjögren’s syndrome, and other conditions with customized care plans designed to relieve symptoms and improve long-term eye health.
Please call (866) 945-2745 or make an appointment online.
We are conveniently accessible to patients throughout Southern California and the Los Angeles area at locations in or near Beverly Hills, Santa Monica, West Los Angeles, West Hollywood, Culver City, Hollywood, Venice, Marina del Rey, Malibu, Manhattan Beach, and Downtown Los Angeles.
Filamentary keratitis is one of the most severe eye conditions within the dry eye disease spectrum, characterized by painful string-like filaments on the corneal surface. Unlike typical dry eye syndrome, which might cause mild dryness or watery eyes, filamentary keratitis creates a significant burning sensation in the eyes, foreign body sensation, and visual disturbance.
These filaments consist of mucus and epithelial cells that adhere to the cornea, requiring specialized treatment from ophthalmologists rather than standard over-the-counter eye drops or warm compresses that might help milder dry eye symptoms.
PRP (platelet-rich plasma) eye drops are a modern and effective dry eye treatment that goes far beyond artificial tears or even prescription eye drops. Created from the patient’s own blood, PRP drops contain concentrated platelets with natural growth factors that actively promote healing of the ocular surface and restore healthy tear film.
Unlike conventional treatments that primarily provide temporary lubrication, PRP drops address the underlying cause of severe dry eye disease by stimulating natural tear production and promoting corneal healing. They’re particularly effective for complex cases that don’t respond to typical dry eye treatments, contact lenses, or standard dry eye center protocols.
Absolutely. Systemic conditions affecting mucosal membranes, such as chronic lung diseases or autoimmune conditions like Sjögren’s syndrome, can significantly impact eye health and cause severe dry eye disease. The mucosal membranes lining the lungs, eyes, and other organs share a similar cellular structure in the tear film.
When a chronic condition affects the tear film systemically, it often leads to insufficient tear production, altered tear film composition, and increased susceptibility to severe eye conditions like filamentary keratitis. This is why patients with such conditions need specialized eye care from experienced dry eye specialists like those at AGEI.
Treatment for severe dry eye disease typically begins with a thorough eye examination at a specialized dry eye center, which allows for the creation of a personalized treatment plan. Advanced in-office treatments might include IPL (Intense Pulsed Light), LipiFlow for meibomian gland dysfunction (MGD), BlephEx for blepharitis, or punctal plugs to stop tear drainage.
For more complex cases, cutting-edge options such as PRP drops or specialized contact lenses made for dry eyes may be suggested. Our dry eye specialists will also check for other eye conditions like glaucoma and may coordinate care if you’ve had LASIK, cataract surgery, or take medications like antihistamines that can impact tear production.
The timeline for improvement varies greatly depending on the severity of your dry eye syndrome and its underlying causes. Some patients experience relief within weeks of starting treatment, while more complex cases involving systemic diseases may take several months to show significant improvement.
Common symptoms, such as blurred vision, a burning sensation, and corneal irritation, often gradually improve. Working with experienced ophthalmologists who offer multiple treatment options for a wide range of concerns can help reduce delays and ensure you receive appropriate care for your specific eye conditions.
Sources:
Cornea Function, Definition & Anatomy
https://www.healthline.com/health/cornea
Dry eye disease: when to treat and when to refer
Meibomian gland disease: the role of gland dysfunction in dry eye disease