Is Infection On The Same Day Of Cataract Surgery Normal?
If it is infection more aggressive treatment is required.
Detailed Answer:
Hello
Welcome to Health care Magic.
I am Dr. DADAPEER K, an Ophthalmologist and I will be answering your question.
I reviewed your history.
Infection on the same day of cataract surgery is not very common in clinical practice.
Watering on the same day of surgery can be because of surgery related inflammation and will go away. But since your doctor has mentioned regarding pus we need to rule out infection.
You need to be worried if there are symptoms like pain in the eye, redness, swelling of the eyelids, decreased vision or hazy vision...., if these symptoms are present then they indicate infection of the eye called as endophthalmitis and require treatment more aggressively.
If this condition is present the only use of antibiotic eye drop like Besivance will not be of help. This requires confirmation of diagnosis by ultrasound examination called as B scan of the eye and if confirmed treatment is by intravitreal injection of antibiotic drugs and in severe cases by vitrectomy surgery.
But I hope that this is not endophthalmitis and can be because of inflammation of the eye following surgery, in this use of antibiotic eye drops like Besivance and anti-inflammatory drugs like Bromefenac or Nepafenac will be sufficient.
Hence first thing to be done today is to consult your doctor for eye examination and to know whether it is infection or only inflammation following surgery.
If it is only inflammation then no need to be worried but if it is infection then aggressive treatment approach is required.
Do follow up with me regarding the presence of the symptoms like redness, pain, hazy vision, swelling of the eye and examination report from your doctor so that I can advice regarding the further course of treatment.
Hope this information is helpful to you.
Do write back to me for further questions.
Thank you
With regards
It does not look like infection, but needs examination for confirmation.
Detailed Answer:
Hello
Thank you for the follow up.
Since there is no redness and watering of the eyes has stopped after using the eye drops, this does not look like infection.
But since your doctor has mentioned regarding pus in the eye, I would suggest for follow up today with your doctor to look regarding this.
Do write back to me after examination with your doctor.
Thank you
Thank you
Detailed Answer:
Hello
Do write back to me after examination.
Thank you
Besivance 3 time a day for 7 days
Durezol 2 times a day for 7 days and then 1 I me a day for another 7
Ilevro 1 time a day for 14 days.
Revisit in 14 days unless we see any changes or pain/redness/swelling issues.
This confirms our diagnosis of inflammation.
Detailed Answer:
Hello
Thank you for the follow up question.
This confirms our diagnosis of inflammation, no need to be worried and he needs to continue the eye drops as advised by the doctor.
Durezol is steroid and Llevro is antiinflammatory drug (Nepafenac) and both these along with the antibiotic eye drop(Besivance) are sufficient and these will control the inflammation and he will be fine no need to be worried.
Hope this information was helpful to you.
Thank you
With regards