What you need to know about contaminated eye drops (2024)

In February, the U.S. Food and Drug Administration warned consumers and health care providers against using over-the-counter “artificial tears” from the brands EzriCare and Delsam Pharma because of possible bacterial contamination.

In March, the U.S. Centers for Disease Control and Prevention identified 68 patients in 16 states with infections caused by a rare, extremely drug-resistant strain of bacteria associated with these eye drops. Three people died, four people had to have an eye surgically removed and eight others experienced vision loss due to infection with pseudomonas aeruginosa.

Global Pharma Healthcare, which manufactures EzriCare and Delsam Pharma Artificial Tears, is recalling the products along with an eye ointment by Delsam Pharma.

Use of over-the-counter eye drops is incredibly common, with about a third of all Americans using eye drops or eye wash in 2020, according to research by statista.com. We asked UCLA Health ophthalmologist Kevin M. Miller, MD, to address concerns around contaminated artificial tears drops.

His first word of advice? If you have eye drops from EzriCare or Delsam Pharma, do not use them and throw them away.

Artificial tears from other manufacturers are generally safe, he says, as there are no other recalls of such products.

“I don’t think people have to give up artificial tears now,” says Dr. Miller, who is also the Kolokotrones Chair in Ophthalmology at the David Geffen School of Medicine at UCLA.

He notes that people who use multiple eye medications may not initially realize which drops are causing a problem. Most people turn to artificial tears to soothe their eyes after using medication drops, which can sting, he says.

So it’s important to be aware of symptoms that could be caused by contaminated eye drops.

“Most people would know within a day or two that there’s something wrong, especially if their eyes are stinging or burning,” Dr. Miller says. “There may be itching or redness as later findings. As you get further into the infection, the vision can become blurry and a discharge usually develops — a watery, yellowish or greenish discharge — and the eyelashes may start crusting.”

If any of these symptoms arise, stop using the product and contact your doctor.

He adds that another eye medication — brimonidine, used to treat glaucoma — was also recently recalled. These drops are not associated with any infection. Specific lots of the drops are being recalled because some of the bottles have cracked caps.

What you need to know about contaminated eye drops (2024)

FAQs

What you need to know about contaminated eye drops? ›

“There may be itching or redness as later findings. As you get further into the infection, the vision can become blurry and a discharge usually develops — a watery, yellowish or greenish discharge — and the eyelashes may start crusting.” If any of these symptoms arise, stop using the product and contact your doctor.

What happens if you use contaminated eye drops? ›

According to the FDA, “using contaminated eye drops could result in minor to serious vision-threatening infection which could possibly progress to a life-threatening infection.”

How do you clean contaminated eye drops? ›

Be careful not to touch the end of the dropper to your hand, eyelid, eyelashes or eye. If the tip of the bottle becomes contaminated, you can clean it with a sterile cloth or alcohol pad. Place the back of your thumb against your forehead and avoid pointing your fingernails towards the eye.

What 3 eye drops are recalled? ›

What eye drops have been recalled?
BrandProduct
LeaderLubricant Eye Drops (10 mL) Polyethylene glycol 0.6%
RugbyLubricating Eye Drops (15 mL) Polyvinyl alcohol 1.4%
RugbyLubricating Tears Eye Drops (15 mL) Dextran 0.1%, hypromellose 0.3%
Rite AidLubricating Eye Drops (15 mL twin pack) Carboxymethylcellulose sodium 0.5%
19 more rows
Mar 1, 2024

What brands of eyedrops are contaminated? ›

UPDATE JAN. 31, 2024: The FDA is warning consumers not to purchase or use South Moon, Rebright or FivFivGo eye drops because of the risk of eye infection. These “copycat” eye drops resemble Bausch + Lomb's Lumify brand eye drops. Read the FDA announcement.

What is the new warning on eye drops? ›

The Food and Drug Administration issued a warning in late October 2023 urging consumers to avoid purchasing and to immediately stop using 26 over-the-counter eye drop products because of risk of eye infection that could result in partial vision loss or even blindness.

How do you treat eye contamination? ›

Treatment for eye infections depends on what's causing your eye infection. It might include anti-infective medication in various forms, such as eye drops, ointments or tablets. It usually takes 24 to 48 hours for antibacterial medications to work.

What eye drops should I avoid? ›

Drops to Avoid

It's best to avoid decongestant eye drops such as Visine, Naphcon, Opcon, or Clear Eyes when treating dry eyes. You can recognize these drops because they are typically advertised as a relief for red eyes or allergies.

Is it safe to use refresh eye drops? ›

Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: eye pain, change in vision, continued eye redness/irritation. A very serious allergic reaction to this drug is rare.

Is refresh eye drops recalled? ›

Refresh eye drops are a commonly used over-the-counter product that provides relief to those suffering from dry, irritated eyes. However, in recent news, the manufacturer of Refresh eye drops has announced a recall due to potential contamination concerns.

Has Systane been recalled? ›

Therefore, the recall applies only to Systane Free Liquid Gel. The original formulation of Systane lubricant eye drops and Systane unit dose are not part of this recall and can continue to be used safely. In addition, the company points out the other Alcon preservative systems are not affected.

Which is better, Systane or Refresh? ›

Refresh has an average rating of 7.0 out of 10 from a total of 3 ratings on Drugs.com. 67% of reviewers reported a positive effect, while 33% reported a negative effect. Systane has an average rating of 2.1 out of 10 from a total of 111 ratings on Drugs.com.

Who should not use Pataday eye drops? ›

You should not use Pataday if you are allergic to it. Ask a doctor or pharmacist if Pataday is safe to use if you have any type of eye infection. Tell your doctor if you are pregnant or breastfeeding. Pataday is not approved for use by anyone younger than 2 years old.

Are contaminated eye drops linked to deaths vision loss? ›

The Food and Drug Administration (FDA) has recalled dozens of over-the-counter eye drops — artificial tears — in 2023 due to contamination and unsafe manufacturing practices. Four deaths from sepsis, 14 cases of vision loss and more than 80 infections were reported as of May.

Can bacteria grow in eye drops? ›

What's the best way to avoid infection from contaminated eye drops? Eye drop bottles can become tainted by bacteria once opened, but there are easy ways to avoid contamination, according to Patricia Jackson, president of the Association for Professionals in Infection Control and Epidemiology.

What should you do if your eye is contaminated with a cleaning solution? ›

If a chemical splashes into your eye, take these steps immediately.
  1. Flush your eye with water. Use clean, lukewarm tap water for at least 20 minutes. ...
  2. Wash your hands with soap and water. Thoroughly rinse your hands to be sure no chemical or soap is left on them.
  3. Remove contact lenses.

What happens when eye drops go bad? ›

Furthermore, expired eye drops may produce uncomfortable side effects, such as itching, blurred vision, burning, and redness. Another risk of using expired eye drops is that they may become contaminated with bacteria or fungi, leading to an eye infection.

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