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Sensitivity to Eye Drop Solution
Man with pruritic, edematous eruption of the upper and lower eyelids.
A 53-year-old man presented for medical attention after borrowing his wife’s eye drops. He had some itching in the eyes, and started intraocular installation of these drops twice a day for 3 days before the sudden appearance of swollen, itchy red eyes.
Key point: A pruritic, edematous eruption involving upper and lower lids, bilaterally, suggests that the patient might be allergic to some component of the ophthalmic suspension. The product in question contained neomycin, polymyxin-B, and hydrocortisone. Neomycin is a frequent topical sensitizer.
Treatment: The patient was advised to discontinue the eye drops immediately and was given a 3-week tapering dose of prednisone.
Note: The patient may now have a hypersensitivity to all aminoglycosides, even when administered parenterally.
Atopic Dermatitis: The Pipeline and Clinical Approaches That Could Transform the Standard of Care
September 24th 2025Patient Care tapped the rich trove of research and expert perspectives from the Revolutionizing Atopic Dermatitis 2025 conference to create a snapshot of the AD care of the future.
