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The use of steroids after cataract surgery may delay healing and increase the incidence of bleb formationin the first few years after operations (18-21). The use of other therapeutic agents such as antibiotics and corticosteroids after cataract surgery is also controversial. Some researchers have reported that antibiotic use is linked to an increased incidence of cataracts (22-25). However, a recent study published in Journal of Ophthalmology (25) suggested that corticosteroids may be beneficial. There was no significant difference in risk for cataracts between those who used antibiotics and those who did not, and there was a lack of evidence of risk with other therapeutic agents. The safety of antibiotics with or without a prophylactic steroid is difficult to evaluate. One major limitation is that the safety of antibiotics with or without a prophylactic steroid does not include the safety of these agents when taken at the same time. A common example is acetaminophen, which can cause overdose and hepatotoxicity in some populations. As such, it is difficult to quantify the risks associated with antibiotics or prophylactic steroids in some scenarios. Prolonged Prolongation or Retinal Damage Some patients have been prescribed antibiotic ointments for prolonged ocular and photoreceptors and have experienced prolonged ocular damage. This condition is called rosacea, and it was first reported by Sauer in 1929. This condition is associated with bacterial overgrowth and is commonly confused with rosacea-like erythema. Rosacea is associated with bacterial overgrowth, inflammation, and destruction of the optic nerve and the photoreceptor tissue (26-28). This condition may develop after steroid replacement therapy or after using nonsteroid ointments, such as mineral oil (29). It is not clear whether a lack of steroid or antibiotic prophylaxis has resulted in prolonged ocular damage. As mentioned above, antibiotics, but not steroid treatments or prophylactic ointments, reduce damage to the photoreceptor tissue. Clinical Signs Clinical signs of rosacea include: Swelling Acquired redness, scaling, and swelling Soreness or irritation on corneal surface Unexplained and/or unprovoked ocular pain, discomfort, or discomfort, particularly when the eyelids are closed. Significant pain on exam when eyelids are closed Excessive eye strain or fatigue Arousal Excessive salivation Nausea Similar articles: