I had an eye infection, and my ophthalmologist prescribed both tobradex (tobramycin and dexamethasone) drops (both eyes) and ointment (affected eye). Is that an overkill?

Probably not. Eyedrops are in liquid and are effective for 1-2 hours until your natural tear flow removes them. Ointment is a nice adjunct for nighttime use as it coats the eye for many hours and therefore is effective while you sleep and do not have to awaken at 3 am to put in another eyedrop.
Must have been. Severe. Infections usually only need drops. Ointment is ok at night time but blurs the vision.
Eye antibiotics. Your doctor prescribed 2 antibiotics for a reason, and would not have prescribed them if not necessary. I advise you to follow your doctor's instructions, especially with your history of high iop. If you are still concerned about the combination of the 2 antibiotics, call your doctor.

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