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Corneal Toxicity From Hydrogen Peroxide-Soaked Tonometer Tips

Corneal Toxicity From Hydrogen Peroxide-Soaked Tonometer Tips Abstract To the Editor. —Hydrogen peroxide solution has been recommended as a disinfectant for tonometer tips, ophthalmic instruments, and trial contact lenses to prevent the transmission of viruses, especially human immunodeficiency virus.1 Commercially available hydrogen peroxide solutions are also used for home disinfection of contact lenses. We report a case in which an applanation tonometer tip soaked in hydrogen peroxide solution caused corneal toxicity. Report of a Case. —A 50-year-old man had undergone penetrating keratoplasty of the right eye six years previously for keratoconus. On follow-up examination, he had a clear graft with 20/20 visual acuity OD. During applanation tonometry he noted immediate discomfort and blurring of vision. As was customary in the clinic, the tonometer tip that was used had been left soaking in a plastic medicine cup containing 3% H2O2 solution (Hydrox Chemical Co, Elk Grove Village, Ill). The solution had evaporated overnight, and the References 1. Recommendations for preventing possible transmission of human T-lymphotrophic virus type III/lymphadenopathy-associated virus from tears . MMWR 1985;34:533-534. 2. Grant WM: Toxicology of the Eye , ed 2. Springfield, Ill, Charles C Thomas Publisher, 1974, pp 559-560. 3. Soukiasian SH, Asdourian GK, Weiss JS, et al: A complication from alcohol-swabbed tonometer tips . Am J Ophthalmol 1988;105:424-425.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Corneal Toxicity From Hydrogen Peroxide-Soaked Tonometer Tips

Corneal Toxicity From Hydrogen Peroxide-Soaked Tonometer Tips

Abstract

Abstract To the Editor. —Hydrogen peroxide solution has been recommended as a disinfectant for tonometer tips, ophthalmic instruments, and trial contact lenses to prevent the transmission of viruses, especially human immunodeficiency virus.1 Commercially available hydrogen peroxide solutions are also used for home disinfection of contact lenses. We report a case in which an applanation tonometer tip soaked in hydrogen peroxide solution caused corneal toxicity. Report of a Case. —A...
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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1988.01060140673012
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —Hydrogen peroxide solution has been recommended as a disinfectant for tonometer tips, ophthalmic instruments, and trial contact lenses to prevent the transmission of viruses, especially human immunodeficiency virus.1 Commercially available hydrogen peroxide solutions are also used for home disinfection of contact lenses. We report a case in which an applanation tonometer tip soaked in hydrogen peroxide solution caused corneal toxicity. Report of a Case. —A 50-year-old man had undergone penetrating keratoplasty of the right eye six years previously for keratoconus. On follow-up examination, he had a clear graft with 20/20 visual acuity OD. During applanation tonometry he noted immediate discomfort and blurring of vision. As was customary in the clinic, the tonometer tip that was used had been left soaking in a plastic medicine cup containing 3% H2O2 solution (Hydrox Chemical Co, Elk Grove Village, Ill). The solution had evaporated overnight, and the References 1. Recommendations for preventing possible transmission of human T-lymphotrophic virus type III/lymphadenopathy-associated virus from tears . MMWR 1985;34:533-534. 2. Grant WM: Toxicology of the Eye , ed 2. Springfield, Ill, Charles C Thomas Publisher, 1974, pp 559-560. 3. Soukiasian SH, Asdourian GK, Weiss JS, et al: A complication from alcohol-swabbed tonometer tips . Am J Ophthalmol 1988;105:424-425.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Nov 1, 1988

References