ACD due to ophthalmic products are older than 40 years
Eyelid dermatitis was the main clinical presentation.
67.7% of patients who tested positive to an ophthalmic medication, 56.8% reacted to an active ingredient and 50% reacted to an excipient. Overall, 36.4% reacted to their own products tested “as is.”
Main allergens: aminoglycoside antibiotics, including neomycin, gentamycin, and kanamycin.
Other allergens: beta blockers, primarily timolol and some non-active ingredients, including sodium metabisulfite, lanolin alcohol, benzalkonium chloride, and thimerosal.