Inadvertent Instillation of Nonophthalmic Antiseptic Drops Due to Packaging Similarity

Steinemann, Thomas L.

doi:10.1001/archopht.116.9.1246

Cited by 10 publications

(5 citation statements)

References 10 publications

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“…There have been reports in the literature regarding misidentification of ophthalmic medications in relation to substances that are not suitable for ocular use, even in the absence of use of multiple medications. [11][12][13] In addition to having an impact on quality of life, 33 use of multiple medications increases the risk of misidentification. 34 Incorrect identification of medications is an underestimated problem that is not clearly apparent, due to the subtle effects of most misused eye drops.…”

Section: Discussionmentioning

confidence: 99%

“…Some substances are capable of causing severe eye burns since they do not have compatible pH. [11][12][13] The opposite situation can also occur, when eye drops are used via a pathway other than ocular, thereby increasing their absorption and possibly generating serious effects, especially in individuals who are more susceptible due to comorbidities. 14 Incorrect use of eye drops at home is very common, since most users, even those with experience in using eye drops, have the perception that they are using these drops correctly and do not recognize that they are making mistakes during this process.…”

Section: Introductionmentioning

confidence: 99%

“…Some substances are capable of causing severe eye burns since they do not have compatible pH. 11 , 12 , 13 The opposite situation can also occur, when eye drops are used via a pathway other than ocular, thereby increasing their absorption and possibly generating serious effects, especially in individuals who are more susceptible due to comorbidities. 14 …”

Section: Introductionmentioning

confidence: 99%

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In search of disambiguation: development of eye drop bottle sleeves to aid in identification and survey among possible users. A cross-sectional study

Costa

Martins²,

Santos

et al. 2022

Sao Paulo Med. J.

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BACKGROUND: Considerable numbers of individuals present low vision, blindness, illiteracy and other conditions that could possibly impair their identification of medications, such as eye drops. Through helping these individuals to identify their eye drops, they can achieve greater autonomy. Misidentification can be avoided through use of multisensory sleeves that can be adapted to most eye drop bottles. Correct use of eye drops is important for preventing progression of diseases like glaucoma that could potentially lead to blindness. OBJECTIVE: To develop bottle sleeves to aid in identification of eye drops and then interview a group of possible users to evaluate the acceptance of the solution. DESIGN AND SETTING: Cross-sectional survey performed at an ophthalmological clinic in São Paulo (SP), Brazil. METHODS: We describe the development of multisensory sleeves to assist in identification of eye drops. To assess the acceptance of this solution, we interviewed 18 patients who were currently using three or more types of eye drops. RESULTS: We developed four prototypes for eye drop bottle sleeves and conducted an acceptance test on them. Most of the patients who answered the survey about the sleeves were elderly. Most (95%) reported believing that the sleeves would help reduce the risk of mixing up eye drops with other medications that also dispense drops. They also believed that these would increase their autonomy in using eye drops. CONCLUSION: The solution presented was well accepted and may help increase safety in using eye drops through preventing misidentification.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

In search of disambiguation: development of eye drop bottle sleeves to aid in identification and survey among possible users. A cross-sectional study

Costa

Martins²,

Santos

et al. 2022

Sao Paulo Med. J.

View full text Add to dashboard Cite

show abstract

“…Even when the lids have different colors, there can be an exchange of the lids, resulting in incorrect use. ( 3 , 4 )…”

Section: Introductionmentioning

confidence: 99%

Quando a cor ajuda

Costa¹,

Martins²,

Martins³

et al. 2018

Einstein (São Paulo)

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ObjectiveTo reduce the inappropriate identification of eye drops, through the use of different colors.MethodsA group of 34 healthy volunteers was presented to two groups of four eye drops each. All eye drops were placed in identical, unlabelled vials. In one group, all four eye drops were transparent. In the other group, each had a different color. A number was assigned to each eye drop, and the volunteer was asked to identify it by color. We measured the correct index in the identification of the eye drops of the two groups.ResultsThe volunteers had a level of education from incomplete junior school to complete graduate course, with 16 males (48%) and 18 females (52%), age range of 21 to 87 years. The success rate in the group of colored eye drops was 88% and, in the group of transparent, 24%.ConclusionThe use of colorings in eye drops can help distinguishing the vials and preventing misidentification.

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“…Both patients recovered. The mistaken identity of ophthalmic and nonophthalmic solutions has frequently been reported 3,4 and may be caused by packaging similarity, mismarking, or shear carelessness. Previous reports have documented pharmacologic mishaps and worse: avoidable severe chemical burns.…”

mentioning

confidence: 99%

Inadvertent Instillation of Nonophthalmic Antiseptic Drops Due to Packaging Similarity

Cited by 10 publications

References 10 publications

In search of disambiguation: development of eye drop bottle sleeves to aid in identification and survey among possible users. A cross-sectional study

In search of disambiguation: development of eye drop bottle sleeves to aid in identification and survey among possible users. A cross-sectional study

Quando a cor ajuda

The Accidental Tourist: Federal Airline Regulations for Carry-on Liquids and the Contact Lens Wearer

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