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Is scleritis a complication of retinal detachment surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had numerous eye operations over the last five months. It all started when an aggressive infection invaded my eye several days after a fairly routine trabeculectomy. I have been seeing a cornea specialist and a retina specialist on a regular basis since then. The ocular lens has been removed and replaced, and retina detachment has been repaired, the internal infection has long been gone. The last operation was laser surgery for retina detachment (I still have oil in my eye from a previous detachment surgery). A few weeks ago, I had a minor inflammation or infection on the cornea, which has been treated. I have an appointment with my retina specialist in a week (thursday). As of two weeks ago, everything was healing fine. My question is, my eye is bloodshot and tender in the outside cornea and painful to light touch or pressure. One Tylenol takes care of the pain for several hours. It seems like a repeat of the inflammation I had a few weeks ago but in a different spot. I still have all the anti-inflammatory and antibiotic drops. Should I go to an emergency and have it checked? Should I just go back to my antibiotic and anti-inflammatory routine for a few days? Should I just wait to see my doctor on thursday? I really do not want to leave home unless I have to. My vision (pretty nonexistent) has not really changed in weeks. My gut feeling is to just use antibiotics and anti-inflammatory till I see my doctor.

Hi,

Welcome to icliniq.com.

You are suffering from scleritis. It is common in post retinal detachment surgery. I would advise the following medication: Moxifloxacin eye drops plus dexamethasone four times a day. Homatropine eye drops three times a day. Nepafenac eye drops three times a day. That will give relief within a day. But continue for a week atleast.

Patient's Query

Hi doctor,

Thanks.

I have a many drops at home from the last few months. I am in a different country so have different brand names but similar drugs. Here is a list of what I have Nepafen (Nepafenac). Ciprogram (Ciprofloxacin and Dexamethasone). Megatob (Tobramycine and Dexamethasone). Flu-sure (Fluorometholone) an anti-inflammatory. Can I use Ciprogram and Nepafen?

Hi,

Welcome back to icliniq.com.

Yes you can use the above mentioned drugs. Make sure the bottle has not been opened more than a month ago. If the bottles are old then please get a new one. Because they get contaminated and expired in 30 days. You will feel relieved in a day only. Dexamethasone is the main drug here. Do get Homatropine eye drops if you do not have them. That will heal the internal inflammation and muscle spasms.

Medically reviewed byiCliniq medical review team

Published At March 2, 2021
Reviewed AtAugust 10, 2024

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