About eye drops?
Is it normal for children to experience a stinging sensation after using "mydriatic eye drops"? Additionally, I also feel a stinging sensation after applying "ophthalmic compound ointment." Is this normal as well? Thank you!
ERIN, 30~39 year old female. Ask Date: 2004/12/13
Dr. Liu Jingxian reply Ophthalmology
Hello, regarding your question, here are the answers:
1.
When we look at objects up close, the mechanism of eye accommodation involves the contraction of the ciliary muscle, which makes the lens more convex to increase the eye's refractive power, allowing the image to be accurately projected onto the retina.
However, when focusing on near objects for an extended period, the ciliary muscle continues to contract, leading to spasms.
This results in an increased curvature of the lens, causing the image to fall in front of the retina, resulting in "myopia." At this stage, the changes in the lens are reversible, and this type of myopia is referred to as "pseudomyopia," which is commonly seen in school-aged or preschool children.
2.
The treatment for "pseudomyopia" includes the use of "cycloplegic agents," with two commonly prescribed options in outpatient settings:
i.
Tropicamide eye drops (1% Mydriacyl®): This medication is a weak cycloplegic agent with a shorter duration of action, approximately 4 to 10 hours.
It belongs to the anticholinergic class of drugs and may cause a brief stinging sensation as a side effect.
If the stinging sensation subsides within a short time (from a few seconds to a few minutes), it is recommended to continue using it; however, if the stinging persists, consider switching or discontinuing the medication.
ii.
Atropine eye drops (0.1%, 0.25%, 0.5%, 1% Atropine): This medication is a long-acting cycloplegic agent with a duration of action lasting from several days to two weeks, and it is less likely to cause stinging as a side effect.
3.
"Pseudomyopia" can be resolved with appropriate rest or by using "cycloplegic agents" to relieve ciliary muscle spasms, allowing vision to recover.
If pseudomyopia is not corrected, prolonged contraction of the ciliary muscle can lead to irreversible changes in the lens, resulting in the progression from pseudomyopia to true myopia.
4.
Additionally, "Liniment of Menthol" is used in general outpatient settings for patients with chronic inflammation, and patients rarely report stinging as a side effect with this medication.
5.
In summary, if children or you experience any side effects related to this, it is important to inform your physician promptly for a detailed examination to check for any drug allergies or other issues, and to appropriately adjust the medication usage.
Wishing you good health,
Dr.
Liu Ching-Hsi, Attending Physician, Department of Ophthalmology, Taipei City Hospital, Zhongxing Branch.
Reply Date: 2004/12/13
More Info
When it comes to the use of eye drops, particularly those like "mydriatic agents" (麻睫散瞳點眼劑) and "ophthalmic ointments" (眼科用臨淂隆複合軟膏), experiencing a stinging sensation can be a common reaction. However, whether this sensation is considered normal can depend on several factors, including the specific formulation of the eye drops, the individual's sensitivity, and the context in which they are used.
Understanding Stinging Sensations with Eye Drops
1. Mydriatic Agents: These are medications used to dilate the pupils for various diagnostic purposes, such as during an eye examination. Commonly used mydriatic agents include tropicamide and phenylephrine. When these drops are administered, it is not unusual for patients to experience a brief stinging or burning sensation. This reaction can be attributed to the pH of the solution, preservatives used in the formulation, or the active ingredients themselves.
2. Ophthalmic Ointments: These are thicker than eye drops and are often used for conditions like dry eyes or infections. The sensation of stinging after applying an ointment can also occur, especially if the ointment contains active ingredients that may irritate the eye surface. The thickness of the ointment can also lead to a temporary blurring of vision, which might be perceived as discomfort.
Factors Influencing Stinging Sensations
- Preservatives: Many eye drops contain preservatives to prevent contamination. These preservatives can sometimes cause irritation, leading to a stinging sensation. If you or your child experience significant discomfort, it may be worth discussing with an eye care professional whether a preservative-free formulation is available.
- Sensitivity: Individual sensitivity to eye drops can vary widely. Some people may have a heightened sensitivity to certain ingredients, leading to more pronounced stinging or burning sensations.
- Technique of Application: The method of applying eye drops can also influence the experience. If the drops touch the eyelid or eyelashes before entering the eye, it may cause irritation. Proper technique, such as instilling drops directly into the conjunctival sac while avoiding contact with the eye surface, can help minimize discomfort.
When to Seek Medical Advice
While mild stinging sensations can be normal, there are circumstances when you should consult an eye care professional:
- Persistent Discomfort: If the stinging sensation lasts longer than a few minutes or is accompanied by other symptoms such as redness, swelling, or vision changes, it is essential to seek medical advice.
- Severe Reactions: If there is a severe burning sensation, excessive tearing, or any signs of an allergic reaction (such as swelling of the eyelids or difficulty breathing), immediate medical attention is necessary.
- Underlying Conditions: If you or your child have pre-existing eye conditions or are on multiple medications, it is crucial to discuss any new symptoms with an eye care provider to rule out complications.
Conclusion
In summary, experiencing a stinging sensation after using mydriatic agents or ophthalmic ointments can be normal, especially if it is brief and mild. However, if the discomfort is significant or persistent, it is advisable to consult with an eye care professional for further evaluation and guidance. They can provide tailored advice based on the specific products used and the individual's eye health history. Always ensure that eye drops are used as directed and that proper application techniques are followed to minimize discomfort.
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