Post-Cataract Surgery Care: Managing Discomfort and Medication Guidance

Postoperative care and medication for cataract surgery?

Hello Doctor: My mother-in-law is about 63 years old and has received a multifocal intraocular lens.
She is worried about recurrence, so she always wears sunglasses when going out and keeps the lights dim at home, trying not to overexert herself.
However, after a year, she still sometimes experiences a burning and stinging sensation in her eyes.
During her follow-up visits, the doctor has not found any issues and said her recovery is normal, but she insists that she feels uncomfortable.
Does she still need eye drops? My father-in-law has bought her Catalin-K OPH Solution (I found this online).
Can she use it after her surgery? Are there any side effects or impacts? Are there other eye drops that would be suitable for her care? Besides these, what other issues should we pay attention to? Oh! By the way, she also has a habit of constipation, and I heard that this might have an impact as well.
Thank you, Doctor, for taking the time to respond.

Lin Zhi Ying, 30~39 year old female. Ask Date: 2016/10/14

Dr. Cai Wenyuan reply Ophthalmology

The sensation of burning and stinging in the eyes is likely a symptom of dry eye syndrome.
In addition to using artificial tears, it is advisable to give your eyes plenty of rest.
Constipation should not have an impact on this condition.
Thank you.

Reply Date: 2016/10/14

More Info

Post-cataract surgery care is crucial for ensuring optimal recovery and managing any discomfort that may arise. It’s understandable that your mother-in-law is experiencing some discomfort, such as burning and stinging sensations, even a year after her surgery. While her follow-up appointments have indicated that her recovery is progressing normally, persistent discomfort can be frustrating and concerning.

Managing Discomfort After Cataract Surgery
1. Understanding Symptoms: It’s not uncommon for patients to experience some discomfort after cataract surgery, even months later. This can be due to dry eyes, sensitivity to light, or even the adjustment to the new intraocular lens (IOL). The burning and stinging sensations could be indicative of dry eye syndrome, which is common after cataract surgery.

2. Use of Eye Drops: The use of lubricating eye drops can be beneficial. The eye drops your husband purchased, Catalin-K OPH Solution, is typically used to provide moisture and lubrication to the eyes. However, it’s essential to confirm with her ophthalmologist whether this specific drop is suitable for her, especially since she has undergone surgery. Generally, preservative-free artificial tears are recommended for post-surgery patients to alleviate dryness without the risk of irritation.

3. Avoiding Irritants: Encourage her to avoid environments that may exacerbate her symptoms, such as smoky or dusty areas. Wearing sunglasses outdoors is a good practice to protect her eyes from bright light and UV rays, which can be particularly bothersome after surgery.

4. Medication Guidance: If she is still experiencing discomfort, it may be worthwhile to discuss with her ophthalmologist the possibility of using anti-inflammatory eye drops or other medications that can help manage her symptoms. It’s crucial to avoid self-medicating without consulting a healthcare professional, as some medications may not be appropriate post-surgery.

5. Monitoring Symptoms: Keep a close eye on her symptoms. If the discomfort worsens or if she experiences any changes in vision, increased redness, or discharge, it’s important to seek medical attention promptly.

Additional Considerations
- Light Sensitivity: It’s common for patients to be sensitive to bright lights after cataract surgery. Gradually increasing exposure to light can help her adjust. Using softer lighting at home can also make her more comfortable.

- Rest and Avoiding Strain: Encourage her to rest her eyes and avoid activities that require intense focus, such as reading or using screens for extended periods, especially if she feels discomfort.

- Diet and Constipation: Regarding her constipation, while it may not directly affect her eye recovery, a healthy diet rich in fiber and adequate hydration can improve her overall well-being. Constipation can lead to straining, which might indirectly affect her eye health, especially if she has any underlying conditions.

- Regular Follow-ups: Ensure she continues to attend her follow-up appointments with her ophthalmologist. Regular check-ups are essential for monitoring her recovery and addressing any ongoing issues.

In summary, while some discomfort post-cataract surgery can be normal, it’s essential to manage it effectively. Using appropriate eye drops, protecting her eyes from irritants, and maintaining regular communication with her healthcare provider will help ensure her comfort and recovery. If her symptoms persist or worsen, a thorough evaluation by her ophthalmologist is warranted to rule out any complications.

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