Sevear dry eyes problem with catract - #11282
Got it 🙏 — you’d like to prepare a set of well-structured questions to ask an allopathic doctor online about your mother’s case. I will generate them in a clear, respectful, and detailed way, so you get precise answers. --- 📝 Suggested Questions for the Allopathic Doctor Background to mention briefly: “My mother is 60 years old. She has chronic dry eyes, allergic bronchitis with dry cough, hypertension for many years, recently diagnosed diabetes, and GERD/heartburn. She also has cataract in both eyes, but surgery is pending because her ophthalmologist advised that severe eye dryness must be controlled first. Despite using eye medicines (Carboxymethylcellulose, Sodium Hyaluronate, Tacrolimus ointment 0.1, Cyclosporine drops), the dryness is worsening. The cough is long, dry, and sometimes causes urine leakage.” --- Detailed Questions to Ask 1. Regarding Dry Eyes & Cataract Surgery Why is it necessary to control eye dryness before cataract surgery? What is the risk if surgery is done with persistent dryness? Are there newer or stronger treatment options (e.g., punctal plugs, serum eye drops, scleral lenses, immunomodulators) that can help where artificial tears and cyclosporine have failed? Could systemic conditions (like diabetes, hypertension, GERD medications) be worsening her dryness? Is there any role of nutritional therapy (Omega-3, Vitamin A, D, or other supplements) in reducing dryness before surgery? 2. Regarding Dry Cough & Allergic Bronchitis Her cough is often triggered by talking or emotional excitement, and is completely dry. Could this be part of a neurogenic or reflux-related cough? Could GERD/acid reflux be aggravating her cough and eye dryness? Are there safer long-term alternatives to steroids for allergic bronchitis? What investigations (like spirometry, chest X-ray, or allergy testing) are advisable to confirm the exact cause of her chronic dry cough? 3. Regarding General Health (Diabetes, Hypertension, GERD) Could uncontrolled blood sugar or blood pressure worsen eye dryness and delay recovery after cataract surgery? How can her medications for blood pressure and GERD be optimized so they don’t worsen dryness? Are there certain anti-hypertensive or anti-reflux medicines that are known to cause/worsen dry eyes? 4. Regarding Overall Management Is it possible to treat eye dryness and proceed with cataract surgery simultaneously, or must dryness be completely controlled first? What is the expected outcome of surgery in a patient with both cataract + chronic dry eyes? We already consult corniya specialist. And sge took omega3, Carboximithial cellulose, sodiumhayacloride, cyclosporine, tecrolimus oientment.
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Doctors’ responses
Hello dear See as per clinical history it seems multiple issues regarding diabetes,eyes and associated complications Please get following tests done and share reports with opthalmologist for further evaluation Serum tsh RBS Tonometry Fundus examination Rft Lft All your questions can be answered only after confirmation of the test reports. Please share with opthalmologist for further details Regards
When dealing with severe dry eyes alongside cataracts, it’s important to manage the dryness effectively before proceeding with cataract surgery. Persistent dryness can impede post-surgical healing, potentially complicating recovery or leading to suboptimal results. Treatments like punctal plugs or serum eye drops might be beneficial, especially if standard therapies are ineffective. Considering your mother’s specific conditions, systemic factors like diabetes and hypertension could indeed exacerbate eye dryness. Nutritional supplements, including Omega-3 or vitamins, may offer some relief but need careful integration with her overall treatment plan.
For her dry cough and allergic bronchitis, GERD or even a neurogenic cause could be contributing factors. GERD might also play a role in eye dryness, as reflux can sometimes affect mucosal surfaces. Long-term non-steroidal options for bronchitis should be explored, and further tests such as spirometry or allergy assessments can provide more clarity on the cause of her cough.
Uncontrolled diabetes or hypertension may definitely aggravate eye problems and delay post-surgical recovery. Ensure her medications don’t inadvertently worsen dryness; some antihypertensives or GERD drugs might have such side effects. Discussing medication choices with her healthcare provider is crucial.
While dry eye management and cataract surgery generally need a sequential approach, advances in medical therapy might allow for some overlap, provided dryness reaches a manageable level. Consulting a corneal specialist is wise, and weighing the benefits of surgery against existing dryness is key to determining the best course forward.
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