Severe generalised hypersensitivity reaction to topical neomycin after cataract surgery: a case report.
BACKGROUND
Systemic hypersensitivity reactions to topical ophthalmic treatment occur rarely, but when they do they can be severe as highlighted by this case.


METHODS
A post-operative cataract surgery patient developed a severe and generalised hypersensitivity reaction following topical treatment with Maxitrol (Dexamethasone and Neomycin) eye drops. The patient reported a previous allergic reaction to Neomycin.


CONCLUSIONS
This case report emphasises the importance of a thorough drug and allergy history when patients are seen at pre-assessment or clerked in for surgery.
Ansari
Imran A
IA
Department of Ophthalmology, Princess Alexandra Hospital, Harlow, Essex, UK. dociansari@hotmail.com
Onyema
Ernest
E