- Apply cold compresses for 48 hours postoperatively to minimize edema and ecchymosis.
- Lubricate the cornea with artificial tears liberally until normal blink returns.
- Elevate head of bed for 1 week.
- No strenuous activity, lifting, or bending for 1 week
- Avoid rubbing the face and lids for 1–2 weeks to avoid dehiscence.
- Follow-up visit in several days to 1 week after surgery
- Evaluate lid position, lid closure, corneal surface, wound healing, infection.
Antibiotic ointment can be applied to ocular surface 2–4 times a day for 1–2 weeks. This might blur vision temporarily, but minimizes discomfort from sutures.
Other management considerations
Patient should call the office for any sudden bleeding that does not stop, or for worsened pain, tenderness, purulent discharge, fever, or decrease in vision.
Nonessential vitamins and herbals that might risk bleeding should be discontinued for 1–2 weeks after the procedure.
Aspirin and NSAIDS can be resumed judiciously within several days to a week postoperatively depending on medical need.
Common treatment responses, follow-up strategies
Ecchymosis is common for 1–2 weeks after surgery, although much less than with external approach.
Edema can take several months for complete resolution, although first few weeks are most noticeable.
Mild asymmetry within first few weeks might be secondary to edema and can be observed for spontaneous improvement.
Large asymmetry might need revision in the operating room.