the Effects of Povidone-Iodine Exposure to the Eyes - Ophthalmology

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Povidone-iodine may come into contact with the eyes?


Today, while treating a wound from a car accident, I used povidone-iodine for disinfection.
After finishing, I noticed some eye discharge and wiped it with my hand, then realized it felt damp.
Upon closer inspection, it seemed to be povidone-iodine, and I'm unsure if it got into my eye.
Now, after about 20 to 30 minutes, my eyes feel fine.
Does this mean it likely didn't get into my eye?
1.
If povidone-iodine gets into the eye, even a small amount, would it cause discomfort?
2.
If it does cause discomfort, what symptoms might occur?

six four, 20~29 year old female. Ask Date: 2023/05/27

Dr. Gao Pilin reply Ophthalmology


Hello: 1.
Povidone-iodine is a commonly used antiseptic, and even a small amount of contact with the eyes can cause discomfort.
The eyes are very sensitive organs, and exposure to chemicals typically results in irritation and discomfort.
2.
If povidone-iodine enters the eyes, the following symptoms may occur: redness and swelling of the eyes, a burning sensation, stinging or discomfort in the eyes, tearing, and temporary blurred vision.

Reply Date: 2023/05/27

More Info


Povidone-iodine, commonly known as Betadine, is a broad-spectrum antiseptic used for skin disinfection before surgery and for treating minor wounds. However, exposure to the eyes can lead to various effects, and it is essential to understand the potential implications of such exposure.

1. Immediate Effects of Povidone-Iodine Exposure to the Eyes: If povidone-iodine comes into contact with the eyes, even in small amounts, it can cause irritation. Symptoms may include redness, burning sensation, tearing, and discomfort. In some cases, it may lead to more severe reactions, such as chemical conjunctivitis or corneal damage, depending on the concentration and duration of exposure.
2. Symptoms of Irritation: If povidone-iodine has entered the eye, the individual may experience symptoms such as:
- Redness: The conjunctiva (the membrane covering the white part of the eye) may become inflamed and red.

- Burning or Stinging: A burning sensation is common and can be quite uncomfortable.

- Tearing: The eyes may produce excess tears as a protective response.

- Blurred Vision: Temporary blurred vision may occur due to irritation or the presence of the solution on the eye's surface.

- Swelling: In some cases, the eyelids may swell due to irritation.

3. Long-term Effects: While most cases of mild exposure may resolve without any long-term effects, repeated or significant exposure can potentially lead to more serious complications, such as corneal abrasions or chemical burns. If irritation persists or worsens, it is crucial to seek medical attention.

4. What to Do if Exposure Occurs: If you suspect that povidone-iodine has come into contact with your eyes, it is advisable to:
- Rinse the Eyes: Immediately flush the eyes with copious amounts of water or saline solution for at least 15 minutes. This helps to dilute and wash away the chemical.

- Avoid Rubbing: Do not rub the eyes, as this can exacerbate irritation or cause further damage.

- Seek Medical Attention: If symptoms persist after rinsing, or if you experience significant discomfort, it is essential to consult an eye care professional or visit an emergency room for further evaluation and treatment.

5. Preventive Measures: To avoid accidental exposure in the future, it is advisable to use protective eyewear when handling chemicals, especially in situations where splashing may occur. Additionally, always wash your hands after handling antiseptics before touching your face or eyes.

In summary, while you may not be experiencing any immediate discomfort after your incident, it is still important to monitor your eyes for any delayed symptoms. If you notice any irritation or changes in vision, do not hesitate to seek medical advice. Understanding the potential effects of povidone-iodine exposure can help in managing any risks associated with its use.

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