Post-scleral buckle surgery
After the scleral buckle surgery, my family member has been using eye drops.
However, tonight I have something to attend to and cannot assist them, so another family member will administer the drops.
When applying the eye drops, they opened the eye too forcefully, which resulted in some bleeding during the dressing change before bed.
This morning, my mother mentioned that her eye feels itchy, and she has already called the doctor, who said that the wound is healing.
I would like to know if, given the situation with the dressing change tonight, it is necessary to have the doctor examine the wound? Additionally, regarding the eye drops that are to be administered twice a day, do they need to be given once in the morning and once in the evening? Thank you for your guidance, doctor.
Ms. Wu, 20~29 year old female. Ask Date: 2021/10/05
Dr. Gao Pilin reply Ophthalmology
Hello Ms.
Wu: It is normal to have a little bleeding after surgery, and some itching may occur as the wound heals.
You should monitor the situation.
The recommended frequency is twice a day, once in the morning and once in the evening, but the timing is not strict; you can use it at appropriate times.
Reply Date: 2021/10/05
More Info
Post-scleral buckling surgery care is crucial for ensuring a smooth recovery and minimizing complications. Based on the information provided, here are some insights and recommendations regarding medication administration and care tips after this type of surgery.
Medication Administration
1. Eye Drops Application: It is essential to administer eye drops as prescribed by the physician. If the prescribed regimen is to apply the drops twice a day, it is generally recommended to do so in the morning and evening. Consistency in medication timing helps maintain therapeutic levels of the medication in the eye, which is vital for healing and preventing infection.
2. Handling Eye Drops: When administering eye drops, it is important to be gentle. If a family member is assisting, they should be instructed to avoid pulling the eyelids too forcefully, as this can cause discomfort and potentially lead to bleeding, as you experienced. Instead, they can gently hold the eyelids open and apply the drops without excessive force. If there is any bleeding or significant discomfort, it is advisable to consult the physician for further evaluation.
3. Signs of Complications: If your family member experiences increased redness, swelling, or discharge from the eye, or if the bleeding persists, it is crucial to seek medical attention. These could be signs of infection or other complications that may require intervention.
Care Tips
1. Wound Care: After scleral buckling surgery, the eye may be sensitive and prone to irritation. It is important to keep the area clean and avoid touching or rubbing the eye. If there is any crusting or discharge, it can be gently cleaned with a sterile saline solution or as directed by the healthcare provider.
2. Monitoring Symptoms: Keep an eye on any symptoms such as itching, pain, or changes in vision. Itching can be a normal part of the healing process, but if it becomes severe or is accompanied by other symptoms, it may warrant a visit to the doctor.
3. Follow-Up Appointments: Regular follow-up appointments with the ophthalmologist are essential to monitor the healing process. During these visits, the doctor can assess the surgical site, adjust medications if necessary, and address any concerns.
4. Avoiding Strain: Encourage your family member to avoid activities that may strain the eyes, such as heavy lifting, bending over, or engaging in vigorous exercise, especially in the initial recovery phase. This can help prevent complications and promote healing.
5. Rest and Recovery: Adequate rest is vital for recovery. Ensure that your family member gets enough sleep and avoids stressful situations that may lead to increased eye strain.
Conclusion
In summary, after scleral buckling surgery, it is crucial to adhere to the prescribed medication regimen, handle eye drops with care, and monitor for any signs of complications. If there are any concerns about bleeding or unusual symptoms, it is best to consult the physician promptly. Following these care tips will help facilitate a smoother recovery and promote optimal healing of the eye.
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