Vitrectomy with ERM peel and corneal abrasion

[Nationalmatch]

I had a closed globe eye injury in 2013 with all the horrible repercussions, traumatic mydriasis, angel recession glaucoma, traumatic cataract, retinal tear, etc…  Everything is currently managed but in an effort to increase my visual acuity my retina surgeon recommended a PPV with ERM peel.  Surgery went without incident and I didn't need gas or oil or even any laser.  I'm pretty sure I had an uneventful surgery, i'm only 2 days post op so time will tell.  

My immediate issue appears to be the a re-aggregated corneal abrasion.  I had some corneal trauma with the initial injury and I have had flare ups from time to time.  I had one after a gonioscopy and now it appears my cornea is causing me significant pain after the vitrectomy.  I assume it's because they used a lens of some sort on my eye during the procedure and my eye dried out during the process and the lens simply "stuck" to my eye and re opened the original injury.  

I had not noticed it on my 1 day post op visit or I would have mentioned it to the surgeon but it's become bothersome now.  I guess my question is can I safely use lubricating drops or even some of the over the counter lubricating ointment while i'm in recovery from my Vitrectomy/peel?  Is the use of those products at all contradictory to my Steroid or antibiotic eye drops?   FWIW, I have used lubricating products in conjunction with my Combigan and Azopt without any ill effect.   Thanks for any advice.

[JohnHaganMD]

Yes when surgery is primarily directed at the macula a central blurred area or area of distortion is common almost always the case. How much it improves varies widely. Discuss with your surgeon.

JCH MD

[Nationalmatch]

Well I'm 6 days post op and my overall vision is improving significantly but there is a spot in the very central vision that almost appears clear/grey that blocks my vision.  It's hard to explain just nothingness.  It's very tiny and extends from my central vision to the right slightly.  Is this common after a week post op for PPV with ERM peel?  I had no gas bubble or air and my 1 day post op visit was uneventful.

[JohnHaganMD]

This information can only come from your treating surgeon. Many retina surgeons do not like or fee comfortable managing cornea problems and if necessary ask the retina Eye MD to refer you to a comprehensive or corneal ophthalmologist

JCH MD