[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
December 1995

Misuse of Nonophthalmic and Ophthalmic Drops Due to Packaging Similarity

Author Affiliations

Little Rock, Ark

Arch Ophthalmol. 1995;113(12):1578-1579. doi:10.1001/archopht.1995.01100120110027

Previous reports document the inadvertent instillation of nonophthalmic drops into the eye secondary to bottle size or packaging similarity, including Hemoccult developer,1 cyanoacrylate adhesive,2 and sodium hydroxide3 instillation. Reports also illustrate the misuse of eyedrops secondary to bottle labeling similarity or inadvertent mismatching of bottles and caps.4 We present a case of accidental use of videocassette recorder head cleaner, resulting in acute eye injury because of a similarity in bottle shape (Figure 1), and a case of similarity in eyedrop bottle labeling (Figure 2).

Report of Cases. 

Case 1.  A 23-year-old white man with a history of severe proliferative diabetic retinopathy in both eyes was also being treated for a recurrent corneal erosion in the left eye. He was seen with a best corrected visual acuity of counting fingers in each eye. He had been using 2% sodium chloride drops (Muro 128, Bausch & Lomb Pharmaceuticals,