Prednisolone and cataract operation: I have been on... - PMRGCAuk

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Prednisolone and cataract operation

saunders123 profile image
8 Replies

I have been on long term prednisolone For GCA & PMR since 2014.Since 2020 I have been on 2mg each day and instructed to stay at 2mg for the rest of my life as a maintenance dose( 86 years old In September Last Tuesday Feb.28th I had a cataract operation pleased to say all went well

Should I have increased prednisolone before the procedure? I have felt dreadful all this last week so

fatigued and having to rest all the time. I need to have the other eye done in a couple of months so any advice welcome

Thank you

Jean

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saunders123
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PMRpro profile image
PMRproAmbassador

It is possible that your body found the whole thing a big strain - and yes, in that case more pred would probably have helped. If you are still feeling so unwell it is possibly worth taking a bit more for a few days now.

Have they ever looked at your adrenal function - just a basal cortisol test on a blood sample taken in the morning, after 9am and before lunch, would tell them a lot without having to go to the bother of a synacthen test.

saunders123 profile image
saunders123 in reply to PMRpro

Thank you so much PMRpro I will take your advice and look into It.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

Agree with PMRpro….an extra mg or two might be required…. Glad to hear cataract procedure went well.

saunders123 profile image
saunders123 in reply to DorsetLady

Thank you D.L I shall increase to 4mg for a few days then go back to 2mg then arrange blood test as PMRpro suggests

Ruthie64 profile image
Ruthie64

I recently had cataract surgery in Dec and Feb, both eyes. My endo said to double dose on the day of procedure. I did for the first one as I was very anxious and didn't know what to expect. Needless to say I had nothing to worry about so I didn't updose for the second eye and I was fine. However I went for a checkup on my second eye yesterday and there's still some inflammation there apparently although it feels fine. So back on the steroid drops for another month 🙄

Koalajane profile image
Koalajane in reply to Ruthie64

I had mine done 2 weeks ago and had complications. So a vitrectomy and lens put in last week and like you on steroid drops, now to be taken hourly with a 7 hour gap,for me to sleep!

I did take extra prednisolone for the vitrectomy as I knew I was a bit worked up from it all. I felt so tired after and slept for over 9 hours since, not now though as have to set alarm for drops!

prunus profile image
prunus

I was in a similar position to you when I had my cataracts operated on. What I did find was that I was more relaxed for the second operation. I think this was I knew what was going to happen. Hopefully you will be the same.

Gardenbay profile image
Gardenbay

I have been on pred since March 2021, I am now down to one and a half mg a day, I was told to reduce my pred by 1 mg each 28 days,until I reached 2 mg, then reduce half a mg every 28 days,I have now been on one and a half for just over 28 days as I feel tired at times,but I will reduce next week to 1 mg. I feel that you should go ahead with the op, but try dropping half a mg, for a while see how you feel, your body has to get used to working on its own, so I think if we can stay positive tell yourself you will get better and enjoy life.Good luck.

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