Post-Strabismus Surgery: Managing Redness and Contact Lens Use - Ophthalmology

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Post-operative issues after strabismus surgery?


Hello, I would like to ask about my condition.
It has been two months since I had strabismus surgery, but my eyes are still red.
During my follow-up appointment a month ago, the doctor prescribed eye drops for me.
Now that I'm almost out of the eye drops, are there any methods to reduce the redness of the wound? Also, can I wear contact lenses now? Thank you.

Niming, 10~19 year old female. Ask Date: 2018/04/12

Dr. Cai Wenyuan reply Ophthalmology


Hello, if you are looking for the cause of red eyes, it is recommended to return for a follow-up examination.
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: 2018/04/12

More Info


Hello! It's understandable to be concerned about the redness in your eyes two months after strabismus surgery. Post-operative redness can be a common occurrence as your eyes heal, but it's important to monitor it and ensure that it is not a sign of complications.

Firstly, regarding the redness, it can be caused by several factors, including irritation from the surgery, dryness, or even residual inflammation. Here are some general recommendations that may help reduce redness:
1. Artificial Tears: Using preservative-free artificial tears can help keep your eyes moist and reduce irritation, which may alleviate some redness.

2. Cold Compresses: Applying a cold compress to your closed eyelids can help reduce swelling and redness. Make sure the compress is clean and not too cold to avoid further irritation.

3. Avoiding Irritants: Try to avoid smoke, dust, and other irritants that can exacerbate redness. Additionally, limit exposure to screens for prolonged periods, as this can lead to eye strain and dryness.

4. Follow-Up with Your Doctor: Since you mentioned that you have nearly finished your prescribed eye drops, it would be wise to schedule a follow-up appointment with your ophthalmologist. They can assess the redness and determine if further treatment is necessary or if a different type of medication is needed.

As for wearing contact lenses, it is generally advisable to wait until your eyes have fully healed before resuming contact lens use. After strabismus surgery, the eyes can be sensitive, and wearing contacts too soon may lead to discomfort or complications. Here are some points to consider:
1. Consult Your Doctor: Before using contact lenses again, consult your ophthalmologist. They will evaluate your eye's healing progress and determine if it is safe for you to wear contacts.

2. Hygiene: If you do get the green light to wear contacts, ensure that you maintain excellent hygiene. Wash your hands thoroughly before handling your lenses, and follow the care instructions provided by your eye care professional.

3. Monitor Symptoms: If you experience any discomfort, redness, or changes in vision while wearing contacts, remove them immediately and consult your doctor.

4. Consider Glasses: If your eyes are still healing, it might be best to wear glasses instead of contacts for the time being. This can help protect your eyes and allow them to heal without additional irritation.

In summary, while redness after strabismus surgery can be normal, it is essential to keep an eye on it and consult your doctor for personalized advice. They can provide the best recommendations based on your specific situation. Additionally, be cautious about resuming contact lens use until you receive clearance from your eye care professional. Your comfort and eye health are paramount, so don’t hesitate to reach out for help if you have any concerns. Wishing you a smooth recovery!

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