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[badstar]

Okay, just got a callback from one of the administrators at the eye doctor, from how it sounds, she's going to take the complaint to the doctor in question and the clinical director immediately. This is good. She also said that she'd put a note in my file about allergic reactions to fluoricine in case I did ever come back to them.

She said that it was likely not the actual fluorescent component that caused the allergic reaction- apparently that usually causes a reaction that requires eye washing, and still lasts for quite a while, it doesn't go away in a short time like my reaction did, so it was likely something else in the drops that I'm allergic to, so I should keep a watch for similar reactions to other drops in the future. She also said that the allergic reaction was a bit more severe, probably because they use a higher concentration for LASIK exams than for your garden-variety doctor visit.

She also couldn't figure out why on earth he'd numbed my eyes to dilate them. They did the air puff test, not the eyeball-pokey test for glaucoma. (At LASIK plus, they numbed and dilated my eyes, but they actually did an eye-poke test. Should I ever need to have my eyes poked again, I think I will just request that it be done without numbing if at all possible. Something flat and blunt tapping at my eyeball doesn't really bother me that much, especially compared to the alternative.)

Comments

[kissdbysunlight.livejournal.com]

That really sucks! I'd complain too.

Recently I actually went to an Eye MD (ophthalmologist) to make sure my (elementary) hallucinations were definitely not my eyes. I got my eyes dilated (which I never had with the optometrist before) and they numbed (for the eye poker test), dialated and used that neon yellow stuff. Since I'm paranoid about allergic reactions and because it was weird, I was quite nervous. Things went find though, and I discovered my eyes are totally healthy and so my problem is in my brain. Yay. Not.

Anyway, I was going to show this to you:

Topical, oral, and intravenous use of fluorescein can cause adverse reactions including nausea, vomiting, hives, acute hypotension, anaphylaxis and related anaphylactoid reaction,[4] cardiac arrest,[5] and sudden death.[6][7] Intravenous use has the most reported adverse reactions, including sudden death, but this may reflect greater use rather than greater risk. Both oral and topical uses have been reported to cause anaphylaxis,[8][9] including one case of anaphylaxis with cardiac arrest (resuscitated) following topical use in an eye drop.[5] Reported rates of adverse reactions vary from 1% to 6%[10][11][12][13] The higher rates may reflect study populations that include a higher percentage of persons with prior adverse reactions. The risk of an adverse reaction is 25 times higher if the person has had a prior adverse reaction.[12] The risk can be reduced with prior (prophylactic) use of antihistamines[14] and prompt emergency management of any ensuing anaphylaxis.[15] A simple prick test may help to identify persons at greatest risk of adverse reaction.[13]

The most common adverse reaction is nausea, due to a difference in the pH from the body and the pH of the sodium fluorescein dye.[citation needed] The nausea usually is transient and subsides quickly. Hives can range from a minor annoyance to severe. A single dose of antihistamine may give complete relief. Anaphylactic shock and subsequent cardiac arrest and sudden death are very rare but because they occur within minutes, a health care provider who uses fluorescein should be prepared to perform emergency resuscitation.

http://en.wikipedia.org/wiki/Fluorescein

You can probably find more info about that try of allergy online. You might want to see what else it's used in (medically). I'm allergic to Sulfa and there's this drug out there that, though not Sulfa mimics it and I can't take it-- there might be medicines with derivatives and like-components out there for Fluorescein. That DR should have paid more attention to what you said as it does sound like those with previous adverse reactions to this do have a greater risk for severe problems!