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What Causes Tears And Swelling In The Eyes Post A Cataract Surgery?

Posted on Sat, 30 Apr 2016

Question: Hello dr..i have a 16 months old child he had catarct in both eyes since birth and the surgery of both eyes has been done when he was 4 months old...but later he developed gulucoma in left eye and his dr made a surgery for that when he was 9 months old...but after some months he retained the problem and they done another surgery (when he was 13 months old) and this time they fitted a valve in his eye they it will automatically maintain the pressure of his eye....in previous surgery they only made a way for the fluid of his eye bcoz they said it was blocked....now i just wanna say that water from his eyes flows as it was before surgery and they r saying that it is normal...and the upper part of his eye is swalled the date from surgey where they have fitted the valve and they said it is also normal bcoz the valve is there and it is working...so plzz tell me what should i do now is all that things are normal...reply soon plz

Answered by Dr. N K Mishra (15 hours later)

Brief Answer:
IOP to be maintainef

Detailed Answer:
My dear,

Thanks for sending your query to us
The aim in such children is to maintain the pressure within normal range.The excess fluid is drained in sub conjunctival space and it does not produce watering in the eye.As I am sure the doctors have examined and are comfortable about the iop being normal there is not much cause of worry.
What is important that you have regular checkup and as such children have a tendency of recurrence of problem.It seems that you are under good care and the doctors were able to diagnose and re do glaucoma surgery.
Please do get back to me in case of any further query in this regard.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. N K Mishra (8 hours later)

But dr now a days water is frequently flowing from his eye and there is some redness in his eye only at the half side of his eye...thats why i m worrying abt ...reply soon

Answered by Dr. N K Mishra (46 minutes later)

Brief Answer:
Astringent eye drops

Detailed Answer:
My dear,
Thanks for getting back to us.
This watering may be due to surface disorder or due to some post operative inflammation. Ideal would have been to use steroid eye drops but that would aggravate the glaucoma, as one has a different entity bythe name of steroid induced glaucoma.
We should start with astringent eye drops. which can reduce the watering and may be supplemented with lubricant eye drops.These drops can be used about 4 times a day and should Ideally help.
Any further assistance in this regard, please do get back to me.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. N K Mishra (16 minutes later)

Plzz suggest names of such eye drops plzzz...can i use vigamox....reply soon thanksss

Answered by Dr. N K Mishra (15 minutes later)

Brief Answer:
Vigamox eye drop

Detailed Answer:
My dear,
Thanks for getting back to me.
vigamox will be a good and safe drop but it is antibiotic and will be very useful if there is discharge from the eye,more so in the morning.
astringent drops or decongestant like visine are useful. Let's start with vigamox for few days and then start with second level of drops.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. N K Mishra (31 minutes later)

How much time a day i should vigamox...and plz tell me about visine eye drops is it safe for 16 months child...with gulucoma histroy....plzz reply soon...thankss...how much days should i use vigamox from now....thankss...

Answered by Dr. N K Mishra (1 hour later)

Brief Answer:
Vigamox eye drops

Detailed Answer:
My dear,
Good of you to get back to us.
Vigamox eye drops can be put in one drop thrice or 4times a day and can be used for about a week to 10days.Though it's use for longer periods has no side effects.
Visine eye drop is safe .Unsafe drops are steroid eye drops which are not to be used.

Above answer was peer-reviewed by : Dr. Vaishalee Punj