Post-cataract surgery, administration of eye drops and ointments?
Hello, Doctor.
My mother had cataract surgery 19 days ago, and I would like to inquire about the postoperative ointments and eye drops.
Thank you.
The attending physician prescribed the following: 1.
Cravit ophthalmic solution, to be administered three times a day; 2.
Sencort ophthalmic solution, to be administered four times a day; 3.
Maxitrol sterile ophthalmic ointment, to be applied once at bedtime.
Last week, during a follow-up visit, the doctor prescribed new eye drops: 1.
Tobradex ophthalmic suspension, to be administered four times a day; 2.
Sencort ophthalmic solution, to be administered four times a day.
I asked how to use the old and new eye drops, and the doctor said to finish the old ones before starting the new ones.
I forgot to ask about the ointment—should it be continued? Today is day 19, and the old eye drops are finished.
Should we continue using the Maxitrol ointment at bedtime, or can we switch directly to the Tobradex ophthalmic suspension? Thank you, and I wish you and your family peace, success, and health!
lu, 60~69 year old female. Ask Date: 2022/07/04
Dr. Cai Wenyuan reply Ophthalmology
The doctor said to finish using the old ointment before starting the new one, and that there is no need for a new medication.
Reply Date: 2022/07/04
More Info
After cataract surgery, proper management of eye drops and ointments is crucial for optimal recovery and to prevent complications. Your mother's regimen includes several medications, and it's important to understand how to use them effectively.
1. Understanding the Medications:
- Cravit (Levofloxacin): This is an antibiotic eye drop used to prevent infection after surgery. It is typically prescribed for a specific duration, often until the bottle is finished or as directed by the physician.
- Sencort (Dexamethasone): This is a corticosteroid eye drop that helps reduce inflammation. It is important to follow the prescribed frequency to manage inflammation effectively.
- Maxitrol (Neomycin, Polymyxin B, Dexamethasone): This ointment combines antibiotics and a steroid, used to prevent infection and reduce inflammation. It is usually applied at bedtime to provide overnight protection.
- Tobradex (Tobramycin and Dexamethasone): This is another combination of antibiotic and steroid, used to manage inflammation and prevent infection.
2. Using Eye Drops and Ointments:
- Timing: It’s essential to space out the administration of different eye drops to avoid dilution and ensure maximum absorption. As per your physician's instructions, you should administer the old drops first, wait a few minutes, and then apply the new drops.
- Technique: When applying eye drops, tilt the head back slightly, pull down the lower eyelid to create a pocket, and drop the medication into this pocket without touching the dropper tip to the eye or eyelid to prevent contamination. Close the eye gently after application and avoid blinking excessively.
- Ointment Application: For the ointment, squeeze a small ribbon of ointment into the lower eyelid pocket before closing the eye. This should be done at bedtime to allow for prolonged contact with the eye surface.
3. Continuation of Medications:
- Since your mother has completed the old eye drops, you should confirm with her physician whether to continue using the Maxitrol ointment. Generally, if the physician has not specified to stop the ointment, it may be beneficial to continue using it until the next follow-up appointment, especially if there are signs of inflammation or discomfort.
4. Monitoring Symptoms:
- After surgery, it’s normal to experience some discomfort, redness, or tearing. However, if your mother experiences increased pain, vision changes, or persistent redness, it’s crucial to contact her eye doctor promptly.
- Regular follow-ups are essential to monitor the healing process and adjust medications as necessary.
5. General Care Tips:
- Encourage your mother to avoid rubbing her eyes and to wear sunglasses outdoors to protect her eyes from bright light and dust.
- Advise her to avoid swimming and hot tubs for a few weeks post-surgery to reduce the risk of infection.
- Ensure she maintains a clean environment and practices good hygiene when handling her eye medications.
In conclusion, it is vital to adhere to the prescribed medication regimen and to communicate with the healthcare provider regarding any uncertainties or changes in symptoms. Proper use of eye drops and ointments plays a significant role in the recovery process after cataract surgery, helping to ensure a successful outcome. If there are any doubts about the continuation of the ointment or any other aspect of her care, it is always best to consult with the ophthalmologist for personalized advice.
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