Complications After Double Eyelid Surgery: Infection Signs and Treatment

Q: Complications After Double Eyelid Surgery: Infection Signs and Treatment

Hello Ms. <br>Hong： If you are experiencing this phenomenon, you should promptly return for a check-up to see if there is any sign of infection. <br>It is best to have a physician assess the situation and determine the appropriate course of action.

Double eyelid surgery

Hello Doctor, I would like to ask about a situation.
I had double eyelid surgery on May 25, and about two months later, I noticed a suture knot on my right eye.
After returning for treatment, the wound healed, but there was a small hard lump where the suture knot had been, which was not painful.
Recently, it suddenly became swollen, purulent, red, and painful.
After expressing the pus with a cotton swab, I clean the wound with saline and apply the mupirocin ointment prescribed by the clinic, but pus continues to accumulate.
When I pull the eyelid tight, I can see a slightly yellowish, translucent hard lump inside.
Could this be an infection? Is surgical intervention necessary for cleaning, or can it be treated with medication? Thank you for your response, and I appreciate your hard work!

Miss Hong, 20~29 year old female. Ask Date: 2021/08/19

Dr. Gao Pilin reply Ophthalmology

Hello Ms.
Hong: If you are experiencing this phenomenon, you should promptly return for a check-up to see if there is any sign of infection.
It is best to have a physician assess the situation and determine the appropriate course of action.

Reply Date: 2021/08/19

More Info

After undergoing double eyelid surgery, it is not uncommon to experience complications, including signs of infection. Based on your description, it appears that you may indeed be experiencing an infection at the surgical site. The presence of a hard lump, redness, swelling, pain, and pus are all indicative of an infection.
Infections can occur post-surgery due to various reasons, including improper wound care, the introduction of bacteria during the procedure, or even the body's response to foreign materials such as sutures. The yellowish, translucent hard lump you mentioned could be a collection of pus or a suture that has not dissolved properly, leading to localized inflammation and infection.

Here are some steps you should consider taking:
1. Seek Immediate Medical Attention: It is crucial to return to your healthcare provider or an ophthalmologist as soon as possible. They can perform a thorough examination and determine the extent of the infection. Self-diagnosing or treating without professional guidance can lead to complications, including worsening of the infection or potential damage to the eye.

2. Possible Treatments: Depending on the severity of the infection, your doctor may recommend different treatment options. If the infection is mild, they might prescribe topical antibiotics or oral antibiotics to help clear the infection. However, if there is a significant accumulation of pus or if the infection is severe, surgical intervention may be necessary to drain the infected area and remove any non-dissolvable sutures.

3. Wound Care: While waiting for your appointment, continue to keep the area clean. Using saline solution to gently cleanse the area is a good practice. Avoid squeezing or manipulating the lump, as this can exacerbate the infection or push bacteria deeper into the tissue.

4. Monitor Symptoms: Keep a close eye on your symptoms. If you notice an increase in redness, swelling, pain, or if you develop fever or chills, these could be signs that the infection is worsening, and you should seek immediate medical care.

5. Follow-Up Care: After treatment, ensure you follow your doctor's instructions for care and follow-up appointments. This is essential to monitor healing and prevent recurrence of the infection.

6. Preventive Measures: In the future, ensure that you follow all post-operative care instructions provided by your surgeon. This may include avoiding makeup, keeping the area dry, and not touching the surgical site to minimize the risk of infection.

In summary, the symptoms you are experiencing are concerning and suggest an infection at the surgical site. It is essential to seek professional medical advice promptly to address the issue effectively. Your health and safety should always be the priority, and timely intervention can help prevent further complications.

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