Do Artelac Eye Drops Cause Increased Eye Pressure? Expert Insights - Ophthalmology

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Will Artelac eye drops (10ml/bottle) cause an increase in intraocular pressure as a side effect?


Today, I took my child to see an ophthalmologist who prescribed a bottle of artificial tears (Aitely).
However, when I checked the medication bag, I noticed it listed common side effects: increased intraocular pressure and eye stinging! Since it's just artificial tears, it shouldn't affect intraocular pressure, right? I looked up the medication details from other hospitals, and none of them mentioned this.
I'm wondering if it could be a mistake? Thank you, Dr.
Gao, for your clarification!

Xiao Ke, 50~59 year old female. Ask Date: 2022/03/16

Dr. Gao Pilin reply Ophthalmology


Hello, Xiao Ke: There should be no such side effect.
Please feel free to use it.

Reply Date: 2022/03/16

More Info


Artelac eye drops, commonly used as artificial tears, are designed to provide relief for dry eyes by lubricating the ocular surface. Generally, these drops are well-tolerated and do not typically cause significant side effects. However, your concern about the potential for increased intraocular pressure (IOP) and eye irritation is valid and deserves a thorough explanation.

Firstly, it is important to understand that while most artificial tears, including Artelac, are formulated to be safe for regular use, individual reactions can vary. The mention of increased eye pressure and eye irritation as potential side effects may stem from the fact that some patients can experience sensitivity to certain components in the formulation, such as preservatives or specific ingredients. In the case of Artelac, the formulation is preservative-free, which is generally better tolerated by individuals with sensitive eyes or those who use the drops frequently.

Increased eye pressure is more commonly associated with certain classes of medications, particularly those used to treat glaucoma, rather than with artificial tears. However, if a person has pre-existing conditions such as glaucoma or ocular hypertension, any new medication or eye drop should be monitored closely. It is also worth noting that if the eye drops are used excessively or improperly, they could potentially lead to complications, including irritation or discomfort, which might mimic symptoms of increased eye pressure.

The concern about the labeling on the medication bag could arise from a few factors. It is possible that the warning is a standard precaution included by the manufacturer, even if the risk is minimal for most users. Alternatively, there may have been a clerical error or miscommunication regarding the specific formulation of the eye drops. It is always advisable to consult with your eye care provider if you have any concerns about the medications prescribed to you or your child.

If you or your child experience any discomfort, such as persistent eye irritation or symptoms that could suggest increased eye pressure (like headaches, blurred vision, or seeing halos around lights), it is crucial to seek medical advice promptly. Your eye doctor can perform a comprehensive examination, including measuring intraocular pressure, to ensure that everything is within normal limits.

In summary, while Artelac eye drops are generally safe and effective for treating dry eyes, individual responses can vary. The potential for increased eye pressure is not a common side effect associated with artificial tears, especially those that are preservative-free. If you have any lingering concerns about the eye drops or their effects, do not hesitate to reach out to your healthcare provider for clarification and reassurance. Regular follow-ups and open communication with your eye care professional are key to maintaining ocular health and addressing any issues that may arise.

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