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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
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Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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a type 2 diabetes patient who had a heart cath prodedure has

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a type 2 diabetes patient who had a heart cath prodedure has the tissue around the eyes swell 12 hours after the procedure. What might be the cause?
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. Rick replied 3 years ago.

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Who diagnosed the problem as a systemic allergic issue and started the steroid treatment?

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I guess you are away from your computer. We can use the Q&A system to address your questions.

Expert:  Dr. Rick replied 3 years ago.
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Expert:  Dr. Rick replied 3 years ago.
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Customer: replied 3 years ago.

You asked who had prescribed the steroid injection and the benadryl? The endocrinologist agreed to the meds prescribed by the cardiac physician who did the catherization .

 

The subject is not knowingly allergic to iodine but is now wondering if he is. also had the iodine dye 2 weeks ago for a stress test so does iodine build up in the body and could his be the casue of the puffy swollen tissue all around the eyes?

Expert:  Dr. Rick replied 3 years ago.
An allergy to iodine in the dye doesn't "build up" however, if he was sensitive to it and had one treatment and then, a few weeks later had another treatment, he very well could have a more serious allergic reaction.

This reaction could take many forms, one of which is periorbital swelling. He could also have swelling from problems with his heart and fluid overload but I would think the cardiologist would have already ruled this out before treating it as an allergic rxn.

Is his vision affected in any way?
Customer: replied 3 years ago.

No, his vision is fine. Actually, the catherization showed absolutely no blockage at all but the various meds etc used have created problems with his managment of the Type 2 diabetes becasue of having to discontinue the glucophage prior and for 3 days post the procedure.

Thank you

Expert:  Dr. Rick replied 3 years ago.
Ok then. I would say that this is not an ophthalmology issue then. Sounds like he is in good hands.

Do you best to help him regulate his blood sugar during this difficult time. The steroids will tend to mess things up a bit on this front....


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Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7750
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
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