When Can You Stop Using Dilating Drops After Eye Surgery?

Q: When Can You Stop Using Dilating Drops After Eye Surgery?

Hello, Tian Chao： 1. Since it has been a month post-surgery, you should be able to stop using the medication after this period. 2. Generally, I advise patients not to let water come into contact with their eyes for three weeks after surgery. Since your wound is

How long after surgery can dilating drops be discontinued?

Hello Doctor, I have a few questions to ask:
1.
It has been a month since my retinal surgery (with silicone oil), but due to family matters, I am unable to return for a follow-up appointment.
The doctor prescribed two bottles of eye drops for me to use at home: (1.
Atropine - which I believe is a long-acting dilating agent, and 2.
TobraDex - which I assume is an anti-inflammatory eye medication).
When can I stop using these medications? The dilating agent significantly affects my visual acuity.

2.
How long after the surgery can I get my eyes wet? (It has already been a month, and I have been washing my face secretly.)
3.
Why does the white part of my eye appear to have decreased significantly, almost like there is red flesh or blood vessels? Is this normal? The doctor hasn't mentioned anything during my follow-up visits...

Thank you for your guidance.

Tian Cang, 40~49 year old female. Ask Date: 2020/09/21

Dr. He Jianxian reply Ophthalmology

Hello, Tian Chao:
1.
Since it has been a month post-surgery, you should be able to stop using the medication after this period.
2.
Generally, I advise patients not to let water come into contact with their eyes for three weeks after surgery.
Since your wound is already a month old, there shouldn't be any major issues, but I still recommend avoiding direct water exposure to the eyes.
3.
It is common for the blood vessels in the sclera (the white part of the eye) to become congested for a period after surgery, which may give a sensation of reduced whiteness.
This condition will resolve after some time.
Dr.
He Jian, Ophthalmology Department, Nantou Hospital

Reply Date: 2020/09/21

More Info

After undergoing retinal surgery, particularly one involving silicone oil, it's common to have questions about postoperative care, including the use of dilating drops, water exposure, and changes in the appearance of the eye. Here’s a comprehensive overview addressing your concerns:

1. When Can You Stop Using Dilating Drops?
Dilating drops, such as the one you mentioned (安妥, which is likely a long-acting mydriatic), are typically prescribed to keep the pupil dilated for better visibility during the healing process and to prevent complications. The duration for which you need to continue using these drops can vary based on individual healing and the specific instructions from your surgeon. Generally, if your doctor has not specified a timeline, it is advisable to continue using the drops until your next follow-up appointment, especially if you are experiencing significant visual disturbances due to the dilation.
However, if you find that the drops are severely affecting your daily activities or causing discomfort, you should reach out to your healthcare provider for guidance. They may assess your condition and determine if you can discontinue the drops sooner than initially planned.

2. How Long After Surgery Can Your Eyes Come into Contact with Water?
Post-surgery, it is crucial to keep the surgical site as dry as possible to prevent infection and ensure proper healing. Typically, patients are advised to avoid getting water in their eyes for at least three weeks after surgery. Since you mentioned that it has been a month since your surgery, you may be able to wash your face gently, but it is still wise to avoid direct contact with water in the eyes. If you do wash your face, try to keep your eyes closed and use a damp cloth to clean around the eye area without splashing water directly into your eyes.

3. Changes in the Appearance of the Eye
The appearance of your eye, particularly the white part (sclera), may change post-surgery due to several factors, including inflammation, the presence of silicone oil, or even the healing process itself. It is not uncommon for the sclera to appear red or for there to be a sensation of increased vascularity (more visible blood vessels) in the weeks following surgery. This is usually a normal part of the healing process.
If you notice any unusual growths or persistent redness, it is important to follow up with your eye doctor. They can evaluate whether what you are seeing is a normal part of healing or if it requires further investigation.

Additional Considerations
- Follow-Up Appointments: It is essential to keep your follow-up appointments, as your surgeon will monitor your healing progress and make necessary adjustments to your treatment plan. If you have missed an appointment, try to reschedule as soon as possible.

- Medication Management: Continue using the prescribed medications as directed. If you have concerns about the side effects or efficacy of the medications, discuss these with your doctor during your next visit.

- Protecting Your Eyes: If you have been advised to wear an eye shield or protective eyewear, it is best to continue doing so until your doctor indicates otherwise. This can help prevent accidental injury to the eye during the healing process.

- Lifestyle Adjustments: Be mindful of activities that may strain your eyes or expose them to potential harm, such as swimming or vigorous exercise, until you receive clearance from your healthcare provider.

In summary, while you may feel ready to stop using dilating drops or resume normal activities, it is crucial to follow your doctor's advice and attend follow-up appointments for the best outcomes. Your eye health is paramount, and any changes or concerns should be promptly addressed with your healthcare provider.

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