At least three of us online have had MG exacerbation after cataract surgery. Although it is hard to know exactly what set it off, I suspect the antibiotic eye drops. I asked my neuro and ophthalmologist about it beforehand. Neuro gave the OK (should have known better) and ophthalmologist said that there was no study to show that it prevented infection after surgery, but that it was state of practice, and she was a bit uncomfortable about doing it without the prophylactic drops. So I said OK (I should have known better).

We plan to do the other one when my MG is stable (without the drops). Be sure to take your medication and if you respond at all to Mestinon have it with you. b.

Follow thislink to an article on this subject.

http://journals.lww.com/jneuro-ophthalmology/Fulltext/2007/12000/Generalized_Myasthenia_Gravis_Triggered_by.15.aspx

As I said in my PM, I'd be cautious about the drugs and drops before and after.

Good luck and don't be shy about speaking up to the surgeon.

A2

Thank you! I will be sure to ask the surgeon about this.

Thank you all, for your experience & knowledge in these situations.
Antibiotics and anesthesia, used for medical procedures - also pushed me over the edge, with MG symptoms.
I have been recovering enough, that I was considering some surgery, later in the fall. Well, duh.
After reading that article, from the Journal of Neuro-Opthamology?
Not so sure about surgery. Thank you!

I got very weak with the first eye done. When I got really weak - I had my hubby look up the eye drops - and they were no good. Agree with Beth - I think it is the drops. So I immediately paged the optho - and we chose Bactrim drops which he was satisfied that I was doing something for antibiotics. There was another drop that lasted a few days which also contributed - can't remember what it was. Review with the optho extensively.
In addition, I tried to educate myself on the type of lenses available. I ended up choosing the traditional ones where you have to chose one focal distance that you will optimally see at. For ex - you can choose to see close, far or intermediate. I am young and chose an intermediate focal distance so I can see the computer without glasses. I wear glasses for distance. There are progressive lenses - but the more reading I did - it seemed that your eye muscles have to compensate to use either the close or far distances. No opthamologist could tell me for sure if I would be using more eye muscles. So - for me personally, I didn't want to take the chance. If I am having a bad day - I don't want my eyes to drag me down. This is probably too much overthinking and overkill....but it's worth asking about. When I initially went to the optho - I didn't know anything about choices.

Lastly, my one cataract is back. Started back a year after the lens was replaced. We apparently have to do the YAG laser to remove it from the lens. (I didn't know they could come back either...)
Good luck
Nicole

Pay the extra to get the newer better implants that are not fixed focal point, which is what some insurances only cover. I already have the older version due to getting them before the newer lenses came out. I went to a lecture on these resently and the Dr explained you have to ask to be sure of what you are getting implanted. We get a lot if vision lectures as part of my therapy departments professional development requirements. My surgery caused a lot of painful unusual spasms and anathesia problems but overall vision improvement was great. Should have done it sooner.

Thanks everyone!!

Momsotired makes at least four of us. My antibiotic was Zymaxid (a quinolone and my NSAID for pain Keterolac (toradol). Like momsotired, I believe both were a problem. I also had prednisolone for a day, but doubt that was what caused the issues. b.

My post-op drops were for 4 weeks per eye or until they ran out of: Pred Forte (Prednisone Acetate), Keterolac and Zymaxid.

Problems set in 2 days following second surgery which was 2 weeks after first surgery. So, I was still finishing up drops in first eye and had started drops in second eye when vision went double.

My current vision (and hindsight) is 20/20. Never occurred to me or ophtomologist that it would trigger mg. Lessons learned the hard way.

Thanks act2