This is indicated for cataract surgery to obtain mydriasis (dilation of the pupil) and intraocular anesthesia during the surgical procedure.

Each ampoule contains 0.6 ml sterile solution of

• Tropicamide BP 0.2 mg/ml,
• Phenylephrine Hydrochloride BP 3.1 mg/ml,
• and Lidocaine Hydrochloride USP 10 mg/ml.

Used only in elderly and adult patients undergoing cataract surgery. The injection must be administered by an ophthalmic surgeon under local anesthesia at the beginning of cataract surgery. The recommended dose is 0.2 ml of solution, given as a single injection only. The following procedure should be followed:

• Five minutes before performing the preoperative antiseptic preparation and the first incision, instill 1 to 2 drops of anesthetic eye drops into the eye.
• At the start of surgery, inject 0.2 ml of the solution slowly as a single injection via the intracameral route, through the side port or principal port.

Most serious well-known complications occurring during or after cataract surgery:
Uncommon: may affect up to 1 in 100 people

• Injury to the lens (posterior capsule rupture)
• Swelling of the retina (cystoid macular edema)

Please seek urgent medical advice in this case.

Other side effects:
Uncommon: may affect up to 1 in 100 people

• Nervous system disorder: Headache
• Eye disorder: Swelling of the cornea (keratitis), increased pressure in the eye, redness of the eye (ocular hyperaemia)
• Vascular disorder: High blood pressure (hypertension)

This medicine should not be used during pregnancy and lactation.

Do not use if the blister is damaged or broken. Open under aseptic conditions only. The product should be used immediately after opening of the ampoule and should not be reused for the other eye or any other patient.

This is not recommended:

• In combined cataract surgery with a certain type of eye surgery (vitrectomy)
• If the ocular anterior chamber is shallow
• If the patient has a history of acute narrow angle glaucoma

The doctor should carefully consider the patient’s medical condition if they are suffering from hypertension, atherosclerosis, heart disease, hyperthyroidism, prostate gland disorders, epilepsy, liver disease, kidney problems, breathing problems, or myasthenia gravis.

Other ophthalmic preparations

Do not store above 30°C. Does not require refrigeration. Keep away from light and out of the reach of children. For single eye use only. The medicine should be used immediately after first opening of the ampoule. After use, discard the remaining solution properly. Do not keep it for subsequent use.