After my CXL procedure, intraocular pressure is raised. Please guide me.

Question

Hi doctor,

I had my CXL procedure done for my right eye one month ago, and my vision is even worst than before. I was prescribed Tobradex (Tobramycin) eye drops a day thrice. My IOP, when recently checked, was raised to 30.5, and I am labeled as a steroid responder. Therefore, my medication is changed to FML, artificial tears and beta-blockers. I want to know if this condition will go away, as I still have pain in and around my eye. I am worried about this problem. Kindly help me.

Answer 1

Hello,

Welcome to icliniq.com.

Are you a keratoconus patient? For what reason did you get CXL (corneal cross-linking) done? Tobradex (Tobramycin) is a very weak steroid antibiotic combination. You have not taken much of it, even if you are a responder to steroids. That would be odd to have this IOP (intraocular pressure). I would suggest you repeat the IOP measurement. Also, if you would describe to me how you have done the IOP measurement, maybe I could help (as there are many methods to measure the IOP). Regarding your vision, please send me a Pentacam image of your right eye before and after CXL. Also, I have seen many cases like this drop of vision after CXL, but this is generally temporary for a maximum of three months. Do not worry. I would like to know the answers to the questions above, and I will help you with your condition.