Using Eye Drops in Ears: Concerns and Safety Tips - Internal Medicine

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Hello, Doctor: I visited an otolaryngologist because of itching in my ears, and the doctor prescribed eye drops to be used in my ears.
I would like to ask if it is concerning that I heard a whooshing sound when the drops flowed into my ear.
I am a bit worried that the drops might have accidentally ruptured my eardrum, or if I already had a perforation that caused this sound.
I'm unsure if this is serious, so I wanted to consult with you.
Thank you.

Nana, 20~29 year old female. Ask Date: 2021/07/07

Dr. Hong Yuanbin reply Internal Medicine


Hello, if it’s just a simple drop of medication, it shouldn't rupture the eardrum.
What you are hearing is likely the sound of the liquid moving.
If your hearing is currently normal, there should be no cause for concern.
Thank you for your question.

Reply Date: 2021/07/07

More Info


Using eye drops in the ears can raise several concerns, especially if you are experiencing unusual sensations or sounds during the process. It’s important to understand the anatomy of the ear and the potential implications of using medications not specifically designed for ear use.

First and foremost, the ear is divided into three main parts: the outer ear, the middle ear, and the inner ear. The eardrum (tympanic membrane) separates the outer ear from the middle ear. If you hear a "whoosh" sound when applying eye drops in your ear, it could be due to the fluid moving through the ear canal and possibly affecting the eardrum. However, this sound does not necessarily indicate that the eardrum is damaged or that there is a pre-existing perforation.

Eye drops are formulated for the eye's delicate tissues and may contain preservatives or other ingredients that are not suitable for the ear. While some healthcare providers may prescribe eye drops for ear use in specific situations, it is crucial to ensure that the medication is safe for this purpose. If the drops were prescribed by an ear, nose, and throat (ENT) specialist, they would have assessed your condition and determined that the benefits outweigh the risks.

If you have a history of ear problems, such as recurrent ear infections or a perforated eardrum, using eye drops in your ears could potentially exacerbate these issues. A perforated eardrum can lead to fluid entering the middle ear, which may cause pain, infection, or further complications.

Here are some safety tips and considerations when using eye drops in your ears:
1. Consult Your Doctor: Always follow your healthcare provider's instructions regarding the use of any medication. If you have concerns about using eye drops in your ears, discuss them with your doctor or an ENT specialist.

2. Monitor Symptoms: Pay attention to any unusual symptoms after using the drops, such as increased pain, discharge, or changes in hearing. If you experience these symptoms, seek medical attention promptly.

3. Avoid Self-Medication: Do not use over-the-counter eye drops or any other medications in your ears without consulting a healthcare professional. Self-medicating can lead to complications.

4. Proper Technique: If you are instructed to use eye drops in your ears, ensure you are using the correct technique. Tilt your head to the side, pull your earlobe down to straighten the ear canal, and apply the drops as directed.

5. Follow-Up Care: If you have ongoing issues with your ears, such as itching or discomfort, follow up with your healthcare provider for further evaluation and treatment.

In summary, while using eye drops in the ears may be appropriate in certain situations, it is essential to do so under the guidance of a qualified healthcare professional. The sound you heard may not indicate a serious problem, but it is always best to err on the side of caution and seek medical advice if you have any concerns about your ear health.

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