After cataract surgery, it is important to evaluate the wound for any leakage. Key clinical signs that you may have a wound leak include poor vision, low eye pressure (below 8mm Hg), excessive tears, and optic nerve swelling. The easiest way to identify wound leakage is with the instillation of fluorescein dye. If wound leakage is not seen clearly but is still suspected, “paint” the wound with a fluorescein strip, as shown in the video.
Usually, mild wound leaks are self-limiting. A bandage contact lens can be used for moderate cases. Prescribed steroid drops will be decreased, while a dilating drop may be added. For more severe leaks, a surgical repair may be necessary. Compliance and care are critical for all post-cataract surgery management.