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Lidocaine Ophthalmic Gel - Uses, Benefits, and Side Effects

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Lidocaine eye gel is an anesthetic medication used to numb the eye before procedures, preventing pain sensation. Read below to know more.

Medically reviewed by

Dr. Aditi Dubey

Published At January 18, 2024
Reviewed AtJanuary 18, 2024

Introduction

Lidocaine ophthalmic gel is a topical anesthetic medication specifically formulated for ocular use. It belongs to the category of local anesthetics and operates by obstructing nerve signals in the body. In the case of ophthalmic gel, Lidocaine numbs the eye's surface, providing temporary relief from pain and discomfort associated with certain eye conditions and procedures.

How Does Lidocaine Ophthalmic Gel Work?

Lidocaine ophthalmic gel works by blocking the transmission of nerve signals from the eye to the brain. This results in a loss of sensation in the eye, which can help to reduce pain and discomfort. Lidocaine ophthalmic gel is a fast-acting anesthetic, with effects typically beginning within one to two minutes of application. The duration of anesthesia varies based on the potency and composition of the gel but typically spans 15 to 30 minutes.

What Are the Uses of Lidocaine Ophthalmic Gel?

Lidocaine ophthalmic gel is used for a variety of ophthalmic procedures, including:

  • Eye examinations.

  • Tonometry (measurement of intraocular pressure).

  • Gonioscopy (examination of the angle between the iris and the cornea).

  • Laser surgery.

  • Cataract surgery.

  • Glaucoma surgery.

  • Corneal transplant surgery.

  • Removal of foreign bodies from the eye.

  • Suturing of eye wounds.

Lidocaine ophthalmic gel is also used to treat pain and discomfort associated with the following eye conditions:

  • Corneal abrasions.

  • Corneal ulcers.

  • Dry eye syndrome.

  • Episcleritis (inflammation of the episcleral, the white outer layer of the eye).

  • Iritis (inflammation of the iris, the colored part of the eye).

  • Uveitis (inflammation of the uvea, the middle layer of the eye).

What Are the Benefits of Lidocaine Ophthalmic Gel?

  • Pain Relief: One of the key advantages of lidocaine ophthalmic gel is its capability to deliver prompt and efficient pain relief. By numbing the eye's surface, patients experience reduced discomfort during eye-related procedures and examinations.

  • Enhanced Patient Comfort: Lidocaine gel improves the overall experience for patients undergoing eye surgeries or examinations. Increased comfort contributes to decreased anxiety, facilitating the performance of necessary procedures for patients and medical professionals.

  • Minimized Movement: The numbing effect of Lidocaine ophthalmic gel helps minimize eye movement during delicate procedures. This is crucial in surgeries where even slight movements can impact the outcome.

  • Quick Onset: Lidocaine ophthalmic gel typically has a fast onset of action, providing relief within minutes of application. This quick action is essential in time-sensitive medical procedures.

What Can Interact With the Effectiveness of This Medication?

Interactions are unlikely. Although this list might not cover all potential interactions, it is important to inform the healthcare provider about all the medicines, herbs, non-prescription drugs, and dietary supplements. Additionally, let the doctor know about smoking habits, consuming alcohol, or using illicit substances, as these factors could impact how the medicine works. Certain items might interact with the medication.

What Precautions Should Be Taken While Applying Lidocaine Ophthalmic Gel?

Avoid touching, wiping, or rubbing the eyes once this medicine is applied. There is a risk of causing injury to the eye without sensing it. Refrain from inserting contact lenses until the medicine's effects have subsided. Only use this medicine under direct supervision by the doctor; self-administration is not advisable. Prolonged use of this medicine is discouraged. If the symptoms do not improve or worsen, inform the doctor or healthcare professional.

How to Use Lidocaine Ophthalmic Gel?

Using Lidocaine ophthalmic gel requires careful application following specific steps:

  • Clean Hands: Before handling the gel, thoroughly wash one’s hands with soap and water to ensure cleanliness.

  • Prepare the Area: Choose a well-lit and clean area for the application. Keep a tissue or cotton ball handy to address any excess gel.

  • Tilt-Head Back: Gently tilt one’s head backward or lie down, looking upward.

  • Lower Eyelid: Using the index finger, pull down the lower eyelid to form a small pocket.

  • Apply Gel: Squeeze a small amount of Lidocaine ophthalmic gel, as prescribed, into the pocket of the lower eyelid. Avoid contact between the tube tip and the eye or any other surface.

  • Close Eyes: Close eyes gently without squeezing, allowing the gel to spread evenly across the eye's surface.

  • Remove Excess Gel: Use a clean tissue or cotton ball to remove any excess gel around the eye delicately. Avoid rubbing the eyes.

What Are the Side Effects and How to Reduce Them?

The side effects of Lidocaine ophthalmic gel are generally mild and temporary. The most common side effects include:

  • Burning or stinging sensation in the eye.

  • Blurred vision.

  • Tears.

  • Redness of the eye.

  • Itching.

  • Swelling of the eyelid.

Less common side effects include:

  • Allergic reaction.

  • Corneal damage.

  • Increased intraocular pressure (IOP).

  • Difficulty breathing.

  • Arrhythmias (abnormal heart rhythms).

If someone experiences these side effects, stop using Lidocaine ophthalmic gel and contact the doctor immediately. It is important to note that Lidocaine ophthalmic gel should be used cautiously in people with certain medical conditions, such as heart disease, liver disease, kidney disease, and myasthenia gravis. Pregnant women and breastfeeding mothers should also use Lidocaine ophthalmic gel with caution.

The following are some tips for minimizing the side effects of Lidocaine ophthalmic gel:

  • Use the lowest effective dose.

  • Apply the gel to the lower eyelid only.

  • Do not rub the gel into the eye.

  • Avoid getting the gel in the mouth or nose.

  • Wash hands thoroughly with soap and water before and after using the gel.

What Are Some Facts About Lidocaine Ophthalmic Gel?

The following are some additional information about Lidocaine ophthalmic gel:

  • Lidocaine ophthalmic gel has different strengths, such as 0.5 percent, 1.0 percent, 2.0 percent, and 3.5 percent. The suitable strength of this gel relies on the specific procedure or treatment being performed.

  • This gel also exists in various formulations, including ones without preservatives. Preservative-free Lidocaine ophthalmic gel is a good choice for individuals with sensitive eyes or those who are allergic to preservatives.

  • Typically, Lidocaine ophthalmic gel is applied as a thin strip on the lower eyelid. However, in specific situations, it may be used on the upper eyelid or inside the eye.

  • To ensure its effectiveness, Lidocaine ophthalmic gel should be applied one to two minutes before an ophthalmic procedure or treatment to numb the eye.

  • If someone uses this gel to relieve pain or discomfort associated with an eye condition, they might need to apply it more frequently. Always follow the doctor's instructions closely.

  • Before and after using Lidocaine ophthalmic gel, it is essential to wash hands with soap and water thoroughly. This practice maintains proper hygiene and safety.

Conclusion

In summary, Lidocaine ophthalmic gel serves as a crucial tool in ophthalmic procedures, swiftly alleviating pain and enhancing patient comfort by numbing the eye's surface. Its precise application techniques and diverse formulations cater to varied patient needs. While rare, caution is advised in specific medical conditions. Overall, this gel is an indispensable solution in ensuring safe and comfortable eye-related treatments.

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Dr. Aditi Dubey
Dr. Aditi Dubey

Ophthalmology (Eye Care)

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