Retinal detachment + cataract
Hello doctor, I had retinal detachment surgery on my left eye, followed by cataract surgery a few months later.
It's been nearly six months since the surgeries, and I have been using eye drops prescribed by my doctor for lowering intraocular pressure and treating dry eye.
Recently, I've noticed that around 3 PM, my left eye starts to show prominent redness, and my right eye, which is still nearsighted, also exhibits redness.
Initially, I thought the redness in my left eye was due to hypoxia from wearing contact lenses in my right eye, but after trying not to wear contacts in my right eye, the redness in my left eye still appears around 3 PM, and both eyes show redness.
I visited a clinic, and they diagnosed it as eye allergies, but after using the prescribed medication for 1-2 weeks, there was no improvement.
I finally discovered that applying the intraocular pressure-lowering eye drops significantly reduces the redness within a few minutes.
Could you please advise if this is due to high intraocular pressure or if there are any postoperative complications?
Yu, 40~49 year old female. Ask Date: 2023/04/18
Dr. He Jianxian reply Ophthalmology
Hello Ms.
Yu: Redness in the eyes is primarily a response to discomfort in the eyes, and the underlying causes can vary.
Simple dry eyes can also lead to this reaction.
If you are concerned about elevated intraocular pressure at that moment, it is advisable not to apply any medication immediately.
Instead, you should go to an ophthalmologist to measure your intraocular pressure for confirmation.
Director He Jianxian, Ophthalmology Department, Nantou Hospital.
Reply Date: 2023/04/18
More Info
After undergoing retinal detachment surgery followed by cataract surgery, experiencing redness in the eyes can be concerning. The symptoms you describe, particularly the appearance of red blood vessels in your left eye around the same time each day, could be attributed to several factors, including elevated intraocular pressure (IOP), dryness, or even post-surgical complications.
Firstly, it's essential to understand that after surgeries like retinal detachment and cataract procedures, the eyes can undergo significant changes. These changes may include inflammation, which can lead to redness and discomfort. The redness you observe could be a result of conjunctival hyperemia, where the blood vessels in the conjunctiva (the clear membrane covering the white part of the eye) become engorged due to irritation or inflammation.
The fact that you notice the redness intensifying in the afternoon suggests that it may be related to environmental factors or prolonged eye strain. If you are using a computer for extended periods, this can contribute to eye fatigue and dryness, exacerbating the redness. Dry eyes are a common issue after eye surgeries, and they can lead to discomfort and redness. The artificial tears you mentioned using for dry eye symptoms are crucial in managing this condition.
Regarding the use of pressure-lowering eye drops, it's interesting to note that you observed a reduction in redness shortly after applying them. This could indicate that your eye pressure might be elevated at times, contributing to the redness. Elevated IOP can lead to various symptoms, including redness, and it is essential to monitor your eye pressure regularly, especially after surgery. If you suspect that your eye pressure is fluctuating, it would be prudent to have it measured by your ophthalmologist.
The diagnosis of "eye allergies" you received from the clinic could also be a factor. Allergies can cause redness, itching, and tearing, and they can be exacerbated by environmental allergens or irritants. If the prescribed medications did not alleviate your symptoms, it may be worth discussing alternative treatments or allergy testing with your doctor.
In summary, the redness in your eyes could be due to a combination of factors, including post-surgical inflammation, dry eyes, elevated intraocular pressure, or allergic reactions. It is crucial to maintain regular follow-ups with your ophthalmologist to monitor your eye health and address any concerns. If the symptoms persist or worsen, further evaluation may be necessary to rule out any complications related to your surgeries. Additionally, consider lifestyle adjustments, such as taking regular breaks from screens, using artificial tears frequently, and ensuring a comfortable environment for your eyes.
Similar Q&A
Post-Retinal Detachment Surgery: Concerns and Recovery Tips
Hello, since September, I have undergone two surgeries on my left eye and I am very concerned about my vision after healing. Here is my medical history: I have been taking medications to control my blood sugar and hypertension (including BOKEY) for a long time. In late August, I ...
Dr. Gao Pilin reply Ophthalmology
Hello Mr. Zhang: Currently, there is a dark area in your left eye with some imaging, but it is not very clear. The lower third appears slightly brighter with some imaging, but again, it is quite unclear. Overall, it presents as a patchy appearance. May I ask if there is damage to...[Read More] Post-Retinal Detachment Surgery: Concerns and Recovery Tips
Post-Retinal Detachment Surgery: When to Seek Emergency Care?
One week after retinal detachment surgery, I noticed blood-tinged fluid on my eyelid and my eyeball appears deep red (similar to liver color). Should I seek emergency medical attention?
Dr. Gao Pilin reply Ophthalmology
Hello: It may be a subconjunctival hemorrhage, and if that's the case, it should not be a concern. However, it's still advisable to be cautious after the surgery and have it checked.[Read More] Post-Retinal Detachment Surgery: When to Seek Emergency Care?
Why Your Eyes Are Still Red a Week After Cataract Surgery
Why is there still redness in the eye one week after cataract surgery with ultrasound?
Dr. Wang Yuwei reply Ophthalmology
Post-surgery, localized conjunctival hemorrhage or inflammation may occur, leading to redness of the eye. It is advisable to consult the surgeon for appropriate management strategies.[Read More] Why Your Eyes Are Still Red a Week After Cataract Surgery
Post-Retinal Detachment Surgery: Concerns About Scleral Edema and Redness
Today marks the ninth day since my retinal detachment surgery. During my follow-up appointment, the doctor performed a brief examination of my fundus and mentioned that everything looked fine, advising me to rest more. I proactively inquired about the redness and swelling of my l...
Dr. Gao Pilin reply Ophthalmology
Hello Mr. Huang: Postoperative conjunctival inflammation will inevitably result in redness and swelling due to tissue proliferation, so some swelling is expected. If the ring has dislocated, it can be easily identified as the conjunctiva is transparent; if it is not visible, th...[Read More] Post-Retinal Detachment Surgery: Concerns About Scleral Edema and Redness
Related FAQ
(Ophthalmology)
Post-Retinal Tear Laser Surgery(Ophthalmology)
Retinal Detachment(Ophthalmology)
Post-Cataract Surgery(Ophthalmology)
Post-Chalazion Surgery(Ophthalmology)
Retinal Tear(Ophthalmology)
Cataract(Ophthalmology)
Visual Disturbance(Ophthalmology)
Post-Scleral Buckle Surgery(Ophthalmology)
Iritis(Ophthalmology)