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Allergic Reaction to Tropicamide Eye Drops: A Case Report
1Nursing, Nursing tutor, Shalinitai Meghe College of Nursing, Datta Meghe Institute of Medical Sciences, Sawangi, Meghe, Wardha, Maharashtra, India., Wardha, IND.
Cureus
|May 13, 2024
Summary
An allergic reaction to tropicamide eye drops caused severe eye swelling and redness in a patient. Prompt treatment with steroids resolved the symptoms, highlighting the importance of recognizing adverse drug reactions.
Area of Science:
- Ophthalmology
- Allergology
- Clinical Pharmacology
Background:
- Mydriatic agents are commonly used in ophthalmic examinations.
- Adverse reactions to tropicamide, a mydriatic agent, are rare.
- Ocular allergic reactions can manifest with diverse symptoms.
Observation:
- A 50-year-old man experienced acute periorbital swelling, itching, erythema, and conjunctival congestion post-tropicamide eye drop application.
- Dermoscopy revealed significant congestion and erythema.
- Visual acuity was temporarily impaired in the left eye.
Findings:
- The patient's symptoms were attributed to an allergic reaction to tropicamide eye drops containing chlorbutol.
- Intravenous hydrocortisone and topical steroids were administered.
- Symptomatic improvement was observed within 48 hours.
Implications:
- This case highlights the potential for allergic reactions to tropicamide, even if infrequent.
- Early recognition and management of ocular drug allergies are crucial for patient recovery.
- Ophthalmologists should consider allergic reactions in patients presenting with acute ocular symptoms after medication use.
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