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Richard Tak Kam Ling, MD, PhD; Robert Villalobos, MD; Mark Latina, MD
Boston

Arch Ophthalmol. 1988;106(8):1033-1034.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Identification of topical ophthalmic medications by colorcoded caps has been of benefit to countless patients. In a recent letter¹ readers were alerted to the improper use of eye drops by patients who inadvertently interchanged eye drop caps, potentially leading to ocular and systemic injuries. In a hospital setting, similar mistakes are less common. However, we report two cases in which the nonophthalmic preparation Hemoccult (Smith-Kline Diagnostic, Sunnyvale, Calif) was mistaken for an ophthalmic drop and was administered, resulting in acute ocular injury.

See also pp 1029 and 1030.

Report of Cases.—CASE 1.

—A 24-year-old woman was undergoing rehabilitation at a local hospital after suffering from a pontine hemorrhage. Five weeks after admission her physical examination showed hemiparesis and ataxia. Ophthalmic examination demonstrated visual acuity of 20/70 OU. Extraocular movements were impaired; the right eye showed an inability to adduct past the midline and the . . . [Full Text PDF of this Article]

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