Mydriatic combination
Phenylephrine with tropicamide
Brand names: Mydrane
Adult dose
Dose: 0.2mL intracameral injection at start of cataract surgery
Route: Intracameral
Frequency: single intra-op
Clinical pearls
- Pupillary dilation during cataract surgery — single intracameral dose
- Avoid topical drops with this product
Contraindications
- Hypersensitivity
- Narrow-angle glaucoma
Side effects
- Transient corneal oedema
- Increased IOP
- Systemic α-effects
Interactions
- MAOIs
- TCAs
Reference: BNF; SmPC; https://bnf.nice.org.uk/drugs/phenylephrine-with-tropicamide/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Pathways
- Acute Red Eye / Vision Loss Screen · RCOphth 2020; NICE CKS
- Idiopathic Intracranial Hypertension · ABN; consensus 2018
- Acute Red Eye Assessment · RCOphth / AAO
- Acute Angle Closure Glaucoma · RCOphth / EGS Guidelines
- Retinal Detachment · RCOphth Guidelines / EURETINA
- Diabetic Retinopathy — Screening and Management · NICE NG28 2016 / NHS DES Programme