Post-LASIK Eye Drops: Sulmezole and Flumetholon Explained - Ophthalmology

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One month after myopia laser surgery, the eye drops prescribed by the doctor?


I have undergone laser surgery for my myopia a month ago and have followed the instructions to use Sulmezole Eye Drops (4%) for two weeks.
Now, my doctor has advised me to start using Flumetholone (0.1%) and to continue for a full six months.
I researched online and found that these two medications seem to be an antibiotic and a steroid, respectively, but their effects appear to be similar.
The clinic mentioned that the former is for cleaning and the latter is for UV protection (does it really have such an effect?), which is why both are necessary.
I am unsure if their explanation is correct and whether using these two medications for six months could lead to adverse effects.
I hope you can clarify this for me.
Thank you.

ting, 20~29 year old female. Ask Date: 2021/10/16

Dr. Gao Pilin reply Ophthalmology


Hello Ting: It is common to use this approach postoperatively and adjust based on clinical observations.
If there are any adverse effects, the attending physician should make adjustments as needed.
As long as you follow your doctor's instructions for follow-up visits, there should be no issues, so there is no need to worry.

Reply Date: 2021/10/16

More Info


Post-LASIK eye care is crucial for ensuring optimal recovery and maintaining good vision. The medications you mentioned, Sulmezole (Sulfamethoxazole) and Flumetholone (FML), serve different purposes in the post-operative regimen, and understanding their roles can help alleviate your concerns.

1. Sulmezole (Sulfamethoxazole):
Sulmezole is an antibiotic eye drop that is primarily used to prevent or treat bacterial infections. After LASIK surgery, the eye is particularly vulnerable to infections due to the surgical procedure that alters the cornea. Using Sulmezole helps to keep the surgical site clean and free from bacterial contamination, which is essential for a smooth recovery. The use of antibiotics in the post-operative phase is a standard practice to minimize the risk of complications.

2. Flumetholone (FML):
Flumetholone is a corticosteroid eye drop that is used to reduce inflammation and control the immune response in the eye. After LASIK surgery, inflammation can occur as part of the healing process, and if left unchecked, it can lead to complications such as scarring or delayed healing. FML helps to mitigate these risks by reducing inflammation, thereby promoting a more favorable healing environment. While corticosteroids do not have direct UV protection properties, they are essential in managing post-surgical inflammation.

3. Duration of Use:
Your doctor has advised you to use these medications for a total of six months. This duration is not uncommon, especially in cases where inflammation or infection risk is higher. However, it is essential to follow your doctor's instructions closely. Prolonged use of corticosteroids like Flumetholone can lead to potential side effects, such as increased intraocular pressure (IOP), which can be a concern for patients with a predisposition to glaucoma. Regular follow-ups with your eye doctor are crucial to monitor your eye pressure and overall eye health during this period.

4. Potential Side Effects:
While both medications are generally safe when used as prescribed, there are potential side effects to be aware of. With Sulmezole, allergic reactions or irritation may occur, although these are relatively rare. For Flumetholone, the primary concern is the risk of elevated IOP, which can lead to glaucoma if not monitored. Your eye doctor will likely schedule regular check-ups to assess your IOP and ensure that your eyes are healing properly.

5. Clarification on Claims:
Regarding the claim that Flumetholone provides UV protection, this is not entirely accurate. While some eye drops may contain ingredients that offer UV protection, Flumetholone's primary function is to reduce inflammation. It does not inherently protect against UV rays. To protect your eyes from UV damage, wearing sunglasses with UV protection is recommended, especially after LASIK surgery when your eyes may be more sensitive to light.

Conclusion:
In summary, both Sulmezole and Flumetholone play vital roles in your post-LASIK care, with Sulmezole focusing on infection prevention and Flumetholone on inflammation control. It is essential to adhere to your doctor's recommendations and attend follow-up appointments to monitor your eye health. If you experience any unusual symptoms or side effects, do not hesitate to contact your eye care provider for further evaluation. Your proactive approach to understanding your treatment will contribute significantly to your recovery and long-term eye health.

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