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HELP! Painful swelling after a month from surgery

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HELP! Painful swelling after a month from surgery

Posted by EYE PROBLEM on March 14, 2002 at 09:57:43:

Dr. Stoll, I had a plastic surgery on my lower eye-lid to
remove the puffiness about a month ago. I did not take
anti-biotics that the doctor told me to but took massive
amount of Vit-C for 5 days.

The buruising was gone in a few weeks but the bottom
eye-lid close to the inner corner of the eye remain red.
Then, one day it started to swell and the skin in that
area started to peel with a burning sensation. I went
back to the surgent to be examined. He said it seemed
like a superficial infection or inflamatory condition which
is nothing to do with the surgery as it had been a month
from that.

I thought it was the cosmetic product I was using on the
eye-lid to hide the red color.

The doctor gave me a topical anti-biotic ointment. After
a week of treatment with the ointment, it was much
better and the swelling was gone and the redness was
gradually subsiding.

Then, feeling confortable, I started to put a "scar gel"
(Mederma) on the pinkish area to fasten the healing.

I felt a slight soreness for a few hours and the next
thing I knew was that the SWELLING CAME BACK with
an angry red color.

I called the doctor's office just now but was told to stop
using the gel and continue with the ointment until next
Monday as the doctor was not coming till then.

It looks just like chalazion on the bottom eye-lid only it's
painful and not firm to the touch. Does this sound like
an infection to you or is this an allergic reaction to the
product I put on the affected skin? I look so disfiguring,
please help!!



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)

Posted by Walt Stoll on March 15, 2002 at 09:33:43:

In Reply to: HELP! Painful swelling after a month from surgery posted by EYE PROBLEM on March 14, 2002 at 09:57:43:

Hi, Eye.

Your doc (even his nurse) should be telling you that post-operative tissue is a LOT more sensitive to any topical materials and a LOT more likely to show allergy.

THEN, when the allergy starts the tissue gets a LOT more susceptible to infection!

You got to stop putting stuff, your doc has not ordered, on the area till he saya it is OK.

Walt



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)

Posted by Eye on March 15, 2002 at 13:20:02:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.) posted by Walt Stoll on March 15, 2002 at 09:33:43:

Thanks, Dr. Stoll. Just to confirm, when there is no
swelling, but a reddish color is present, it's not
infection? It's not like the color of bruising. It's a surface
"allergic" looking red.



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)

Posted by Walt Stoll on March 16, 2002 at 11:00:59:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.) posted by Eye on March 15, 2002 at 13:20:02:

Hi, Eye.

I would have to see it.

Sounds right to me though.

Walt



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by EYE on March 19, 2002 at 10:12:38:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.) posted by Walt Stoll on March 16, 2002 at 11:00:59:

Dr. Stoll, if the condition IMPROVES with topical
anti-biotic ointment, stopping all cosmetic products on
the affected area, will the redness go away eventually?

The pinkish color persists, even the doc & nurses said
that they had never seen anything like this before. I am
the first one with this prolonged strange redness after
the eye-lid surgery. If the problem is with the allergy, not
infection, shouldn't they be giving me anti-histamine of
some sort?

And like you said, if the affected skin is sensitive to ANY
topical materials, shouldn't the ointment be also
irriating? The pink color improves when I wipe off the
ointment at night and in the morning before applying a
new layer on the skin.

The doc said that if the condition does not clear within
the next 4 days, he would send me to an eye doctor. It's
been 6 weeks after the surgery.

If you have any suggestion, please let me know.



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by Walt Stoll on March 20, 2002 at 08:09:47:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by EYE on March 19, 2002 at 10:12:38:

Yes, EYE.

25% of people who use topical antibiotic ointments eventually have inflammation from them and that is nearly always a hypersensitivity.

Antihistamines are notoriously ineffective for topical allergies but might be worth a try even then.

I would recommend NOTHING for at least a couple of weeks and see if your bodymind can take over the healing with no interference from ANYTHING you might be using.

Let us know how you do.

Walt



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by EYE on March 20, 2002 at 10:44:09:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by Walt Stoll on March 20, 2002 at 08:09:47:

Doc, you mentioned that antihistamines might worth a
try. Before I try the zero approach, I will try that. What
antihistamine do you recommend? Is natural
non-steroid homeopthic cream "Florasone cream" with
Cardiospermum Tincture OK to use?



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by Walt Stoll on March 21, 2002 at 09:11:10:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by EYE on March 20, 2002 at 10:44:09:

Hi, Eye.

Usually it is the stuff in the cream that causes the allergy and not the medication the cream carries!

All antihistamines work differently with different people. SO, the answer is: the one that gives the best results with the least side effects.

If it were me, I would start with Benadryl (generic OTC) because notheig has been shown to be better and the cost is right.

Walt



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by EYE on March 21, 2002 at 11:24:20:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by Walt Stoll on March 21, 2002 at 09:11:10:

Thanks for the advice. I will try that medicine if I still
need it... because the condition has much improved.

By the way, people take EFA internally, I put on pure
Borage (or flax seed) oil on my face to keep my skin
smooth and beautiful, and since these oils calm down
any inflammation (and cause absolutely no irritation) I
put some on the eyelid (as I still need to keep it moist
with SOMETHING) last night. The redness instantly
diminished. This morning, the redness is almost gone.
I will let you know in case the redness comes back
later.

I don't know how many people use the EFA externally
as a moisturizer but it works like a wonder. It is good for
people with eczema, acne, and all kinds of skin
disorders.



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by Walt Stoll on March 22, 2002 at 11:48:57:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by EYE on March 21, 2002 at 11:24:20:

Thanks, Eye.

Topical is more effective than most people think!

Walt



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by EYE on March 22, 2002 at 23:38:00:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by Walt Stoll on March 22, 2002 at 11:48:57:

Dr. Stoll, I went to see my plastic surgeon today. I had
stopped the ointment since 2 days ago but did not tell
him that. He said that the condition seemed much
better and I should continue with the ointment for
another 2 days and stop. If it flares up again, I need to
let him know that and he would sent me to an eye
doctor. It has not flared up since I stopped it so... I
guess it is not going to.

The main thing is that he could not tell if this was a truly
allergic reaction or infection. He does suspect that it is
a low-grade infection as it happened post surgery.

There is no swelling, but I do feel a very very subtle dull
kind of pain in the pinkish area. Kind of like when a
body part gets bruised from a blow - but not that painful.

I am off the ointment but should I go back to do it if it
were a low-grade infection like my surgeon said? Or
could my body fight it off eventually -- as it seems not to
get worse without the ointment? Or should I go see an
eye doctor now?



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by Walt Stoll on March 23, 2002 at 10:39:43:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by EYE on March 22, 2002 at 23:38:00:

Hi, EYE.

I still believe that you are reacting to something in the ointments or creams. I am surprised the doc doesn't take into account the increased sensitivity of postoperative tissue to this--he is fixated on the increased susceptibility to bacteria postoperatively.. You are going to be lucky if this does not become permanent since once it happens the tissue will likely (not for sure) be forever more sensitive to this happening.

The longer you use whatever is causing this the more likely this will BE forever.

Remember, I am dong this from my long experience not having the privilege of actually examining you.

Since we MDs are not taught to recognize the bodymind working as a net, the ophthalmologist will likely miss this possibility as well and prescribe yet another cream--probably the last thing you actually need.

Hope this helps.

Walt



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by EYE on March 23, 2002 at 11:26:09:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by Walt Stoll on March 23, 2002 at 10:39:43:

Oh, no! This is going to be permanent?? I used
cosmetic cover-up which caused the original symtom
for a little over 2 weeks and then anti-biotic ointment for
the last 2 weeks --could this long enough for me to
have this condition permanently? Since I stopped the
use of cosmetics and switched to the ointment, it got
better, not worse. But it has not completely healed yet. I
will stop everything now but maybe it is too late???

The condition looks much better when I get up in the
morning (almost invisible) and at the end of the day, it
is back to a pinkish color.

What IF this has become permanent? Does that mean I
have to live with this pink eyelid for the rest of my life?



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by Walt Stoll on March 24, 2002 at 08:51:36:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by EYE on March 23, 2002 at 11:26:09:

Hi, Eye.

Have you ever considered that it might be better when you get up because you have not put stuff on over night?

The chances are that you have not done this long enough but every hour that you do increases the possiblity.

Walt



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by EYE on March 24, 2002 at 12:31:12:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by Walt Stoll on March 24, 2002 at 08:51:36:

Dr. Stoll, the condition is better in the morning
regardless. (Even when I put the ointment all night)
Since I stopped using anything on my eyelid, I don't put
anything on all day but it gets pink at the end of the day.
I think it's from blinking and moving the tissues. But
everyday, it seems to get better and less pronounced
even at the end of the day. I noticed when I drink
enough water, it is better. Is there anything I can do to
help this condistion?



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by Walt Stoll on March 25, 2002 at 09:50:09:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by EYE on March 24, 2002 at 12:31:12:

Time, EYE, time---------------without putting anything on it.

If it were ME, I would also avoid any eye makeup like the plague till this has been over for a few months at least.

IF you feel you just HAVE to have eye makeup, you might get away with seriously hypoallergenic stuff.

Let us know how you do.

Walt



Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up

Posted by EYE on March 25, 2002 at 12:00:14:

In Reply to: Re: HELP! Painful swelling after a month from surgery (Archive in allergy.)Follow-up posted by Walt Stoll on March 25, 2002 at 09:50:09:

Got it, doc. Time. I will look for "seriously hypo-allergic"
make-up. That means preservative and all the chemical
free products. I think I reacted mainly the preservatives
in the product. I have also developed a make-up
technique that I use to camouflage my pink right bottom
eyelid. I put pink eye shadow on the bottom eyelid of
my OTHER eyelid and around the top eye-lid of the both
eyes so they look like they are done intentionally to get
that look. No one has ever noticed that one of my eye is
injured. This way I can get away with my injured right
eye without looking it and hiding it with make-up.

Follow Ups:


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