Can You Use Betoptic Eye Drops Long-Term After Cataract Surgery? - Ophthalmology

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Hello, doctor.
My mother had cataract surgery on February 20, and the doctor prescribed both Bepotastine and Betamethasone eye drops.
The doctor said to finish both bottles.
I would like to ask if it is safe to use Betamethasone eye drops for such an extended period, as this steroid is quite potent.
Thank you.

Liu Xiaojie, 40~49 year old female. Ask Date: 2024/02/29

Dr. Gao Pilin reply Ophthalmology


Hello: Regarding the timing of the eye drops you mentioned, patients should typically follow the physician's recommendations for medication use.
If the physician advises completion of the prescribed course, please adhere to those instructions.
As for the steroid component in Betoptic eye drops, the physician will choose the appropriate medication based on the patient's needs and circumstances.
The strength and duration of use usually depend on the severity of the condition and the treatment goals.
If you have further questions about the medication, it is advisable to consult directly with the prescribing ophthalmologist.
They can provide professional advice tailored to your mother's specific situation.
Wishing your mother a smooth recovery after surgery.

Reply Date: 2024/02/29

More Info


After cataract surgery, it is common for patients to be prescribed eye drops to aid in recovery and prevent complications. Betoptic (betaxolol) is a beta-blocker eye drop primarily used to lower intraocular pressure in patients with glaucoma or ocular hypertension. It is not a steroid, but it is important to understand its role in the postoperative care regimen.

1. Long-Term Use of Betoptic: Betoptic can be used long-term, but it is typically prescribed for specific conditions like glaucoma rather than as a routine postoperative medication after cataract surgery. If your mother was prescribed Betoptic after her cataract surgery, it may be due to a concern about elevated intraocular pressure (IOP) or a history of glaucoma. The decision to continue using Betoptic should be based on the patient's IOP readings and the doctor's assessment of the need for ongoing treatment.

2. Steroid Eye Drops: If your mother was also prescribed steroid eye drops (like Prednisolone acetate or Dexamethasone), these are often used to reduce inflammation after surgery. While steroids are effective in managing inflammation, they can have side effects, including increased IOP, especially with prolonged use. Therefore, the duration of steroid use should be closely monitored by the ophthalmologist, and they should be tapered off as soon as it is safe to do so.

3. Monitoring and Follow-Up: It is crucial for your mother to have regular follow-up appointments with her ophthalmologist to monitor her eye pressure and overall recovery. If her IOP remains stable and there are no signs of complications, the doctor may decide to continue the Betoptic. However, if there are concerns about elevated pressure or other side effects, adjustments to her medication regimen may be necessary.

4. Patient Education: It is essential to educate patients about the importance of adhering to their prescribed medication regimen and attending follow-up appointments. Patients should also be aware of potential side effects, such as blurred vision, eye discomfort, or signs of infection, and report these to their healthcare provider promptly.

5. Conclusion: In summary, while Betoptic can be used long-term, its use should be justified based on the patient's specific needs and monitored by an ophthalmologist. If your mother has concerns about her medications or experiences any side effects, she should discuss these with her doctor to ensure her treatment plan is appropriate and effective. Regular monitoring of her eye health will help ensure a successful recovery from cataract surgery.

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