Our Summary

This study compared the use of polyvidone-iodine (an antiseptic) and topical antibiotics in patients after eye muscle surgery. The researchers looked at 162 adult patients: 98 who were given a topical antibiotic ointment followed by antibiotic eye drops for a week, and 64 who were given polyvidone-iodine once immediately after surgery. They found no significant difference in the healing process or infection rates between the two groups. They also found that using polyvidone-iodine had several benefits, including less manipulation of the eye post-surgery, no risk of causing bacterial resistance to antibiotics, and cost efficiency. The study concluded that polyvidone-iodine is a good alternative to topical antibiotics for post-surgery care.

FAQs

  1. What were the two methods compared in this study for post-surgery care in eye muscle surgery?
  2. What benefits were found in using polyvidone-iodine post-surgery compared to topical antibiotics?
  3. Did the study find any differences in the infection rates or healing process between the use of polyvidone-iodine and topical antibiotics after eye muscle surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about strabismus surgery is to follow post-surgery care instructions carefully, including using polyvidone-iodine as directed to prevent infection and promote proper healing. This alternative to topical antibiotics can be just as effective and may have additional benefits. Be sure to attend all follow-up appointments and communicate any concerns or changes in symptoms to your healthcare provider.

Suitable For

Patients who are typically recommended strabismus surgery are those who have misaligned eyes, also known as crossed eyes or lazy eye. This condition can be present from birth or develop later in life, and can be caused by a variety of factors such as muscle weakness, nerve damage, or other underlying health conditions. Strabismus surgery is often recommended when other treatments, such as eye exercises or wearing corrective lenses, have not been successful in correcting the misalignment.

Timeline

Before strabismus surgery:

  1. Patient consults with an ophthalmologist to discuss the surgery and determine the best course of action.
  2. Pre-operative tests and evaluations are conducted to assess the patient’s eye health and determine the severity of the strabismus.
  3. Patient receives instructions on pre-surgery preparations, such as fasting before the procedure.
  4. Surgery date is scheduled and patient prepares for the procedure.

After strabismus surgery:

  1. Patient is monitored in a recovery room immediately after the surgery to ensure there are no complications.
  2. Patient may experience discomfort, redness, and swelling in the eye area post-surgery.
  3. Patient is given instructions on post-operative care, including the use of eye drops or ointments to prevent infection and promote healing.
  4. Follow-up appointments with the ophthalmologist are scheduled to monitor the healing process and assess the success of the surgery.
  5. Patient may need to undergo vision therapy or additional treatments to further improve eye alignment and function.
  6. Over time, the patient should experience improved eye alignment and vision as a result of the surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with strabismus surgery?
  2. What is the success rate of strabismus surgery in correcting the misalignment of the eyes?
  3. How long is the recovery period after strabismus surgery?
  4. What type of anesthesia will be used during the surgery?
  5. What are the alternative treatment options to strabismus surgery?
  6. Will I need to wear an eye patch or use eye drops after the surgery?
  7. What kind of follow-up care will be required after the surgery?
  8. How soon after the surgery can I resume normal activities?
  9. Are there any long-term effects or risks associated with strabismus surgery?
  10. What is the experience and success rate of the surgeon in performing strabismus surgery?

Reference

Authors: Felber D, Roulez F, Palmowski-Wolfe A. Journal: Klin Monbl Augenheilkd. 2022 Apr;239(4):593-596. doi: 10.1055/a-1785-4441. Epub 2022 Apr 26. PMID: 35472813