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Onset of effects with the drops is typically within an hour and lasts for up to a day. [1] By mouth it is used for dry mouth as a result of Sjögren syndrome or radiation therapy. [9] Common side effects of the eye drops include irritation of the eye, increased tearing, headache, and blurry vision. [1]
It is commonly used as an eye drop during pediatric eye examinations to dilate the eye and prevent the eye from focusing/accommodating (cycloplegic). Cyclopentolate [citation needed] or atropine can also be administered to reverse muscarinic and central nervous system effects of indirect cholinomimetic (anti-AChase) administration.
Side effects may include allergic reactions, eye pain, and dilated pupils. [ 2 ] [ 4 ] [ 3 ] It is unclear if use in pregnancy is safe. [ 1 ] Nephazoline works by resulting in constriction of blood vessels thus decreasing redness while pheniramine works by blocking the effects of histamine to stop itching.
Nerves involved in the resizing of the pupil connect to the pretectal nucleus of the high midbrain, bypassing the lateral geniculate nucleus and the primary visual cortex. From the pretectal nucleus neurons send axons to neurons of the Edinger-Westphal nucleus whose visceromotor axons run along both the left and right oculomotor nerves .
Pilocarpine, eye drops that constrict the pupil, has been approved by the FDA for presbyopia. [23] [24] Research on other drugs is in progress. [25] Eye drops intended to restore lens elasticity are also being investigated. [26]
In Horner's syndrome, the sympathetic innervation to the pupillary dilator muscle is lost. The affected pupil is thus miotic and the pupillary dilator responds to denervation by increasing α 1 receptors. Apraclonidine is useful in this case due to its weak α 1-adrenergic properties. When applied to the denervated (and thus hyper-sensitive ...