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Commenting on an article by another doctor



I have been asked to defend the ophthalmic surgeons request to use multidose eye drops for dilating patients in pre op prior to ophthalmic surgery

Our pharmacy and risk management leaders are against this despite the recent and seemingly never ending shortage and high cost of single use dropsPlease see article enclosed

What are your thoughts ?

Is there such an overwhelming risk by using mydriacyl phenylephrine and cyclogyl in a standard 5 ml bottle used just for the one day ?Meeting is at 6 tomorrow morning

Many thanks

A by Dr. Emil W. Chynn:

It’s a bad paper for many reasons:

The eye and skin aren’t sterile

The bugs they grew out are normal flora

You put the drops in before prepping

They failed to show any transmission

They failed to show any disease causation

In 90% of countries they use multi dose drops preop wo problems. Usually over many days

So using multi dose within a day then discarding is perfectly reasonable n logical



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