Post-Cataract Surgery Eye Drops: Why Both Eyes Need Treatment? - Ophthalmology

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Eye drops used after cataract surgery?


Hello Dr.
Tsai: I had cataract surgery on my left eye on June 14th, and during my third follow-up appointment on July 3rd, the doctor prescribed two types of eye drops: an antibiotic eye drop and an anti-inflammatory eye drop.
However, both eyes need to be treated, and I’m wondering why I need to use drops in my right eye when the surgery was only on my left eye.
Additionally, it says not to discontinue the medication on my own, but the doctor did not mention when to return for a follow-up or how long I should continue using the drops.
Should I use the drops until they are finished? Thank you for taking the time to answer my questions.

Niming, 20~29 year old female. Ask Date: 2017/07/03

Dr. Cai Wenyuan reply Ophthalmology


Hello, I suggest you consult with your treating physician again.
Wishing you safety and health.
Sincerely, Dr.
Tsai Wen-Yuan, Director of the Ophthalmology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/07/03

More Info


After cataract surgery, it is common for both eyes to receive treatment with eye drops, even if only one eye underwent the procedure. This practice is based on several important considerations that are crucial for the healing process and overall eye health.

1. Preventive Care: After cataract surgery, the risk of developing complications such as inflammation, infection, or increased intraocular pressure exists not only in the operated eye but also in the non-operated eye. By administering eye drops to both eyes, the physician aims to prevent potential issues that could arise in the unoperated eye, especially if there are underlying conditions that may predispose it to complications.

2. Systemic Effects: The eye drops prescribed, such as anti-inflammatory or antibiotic drops, can have systemic effects that help maintain overall ocular health. For instance, if the drops are intended to reduce inflammation or prevent infection, treating both eyes ensures that any potential inflammatory response or infection is managed effectively.

3. Consistency in Treatment: It is also beneficial to maintain a consistent treatment regimen for both eyes. This can help the patient adhere to the prescribed treatment plan and avoid confusion about which eye is being treated. It simplifies the process for patients who may have difficulty remembering which eye received surgery.

Regarding the duration of treatment, it is essential to follow the instructions provided by your ophthalmologist. If the doctor did not specify a follow-up appointment or a clear timeline for discontinuing the drops, it is generally advisable to continue using the eye drops until they are finished. However, if you have concerns or experience any unusual symptoms, it is crucial to reach out to your healthcare provider for guidance.

In summary, the rationale for treating both eyes post-cataract surgery includes preventive care, systemic effects of the medication, and consistency in treatment. Always adhere to your physician's recommendations and do not hesitate to ask for clarification if you have any doubts about your treatment plan. Regular follow-ups are essential to monitor your recovery and adjust treatment as necessary.

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