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Phenylephrine eye drops: a rare complication in preterm neonate
  1. Rajesh Sesham1,
  2. Narman Puvanachandra2,
  3. Priyadarsini Muthukumar1
  1. 1Department of Neonatology, Norfolk and Norwich University Hospital, NHS Foundation Trust, Norwich, UK
  2. 2Department of Ophthalmology, Norfolk and Norwich University Hospital, NHS Foundation Trust, Norwich, UK
  1. Correspondence to Dr Priyadarsini Muthukumar, Consultant Neonatologist, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY, UK; priya.muthukumar{at}nnuh.nhs.uk

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An ex 27-week baby, corrected to 34 weeks, was administered phenylephrine 2.5% and cyclopentolate 0.5%, one drop per eye, 5 min apart for retinopathy of prematurity (ROP) screening.

Within 20 min, the baby developed bilateral periorbital pallor. Blood pressure, heart rate and oxygen saturations remained unchanged.

The periorbital pallor resolved completely with no damage …

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