Subconjunctival Hemorrhage following Ciprofloxacin–Dexamethasone Eye Drop

  • Unique Paper ID: 197388
  • Volume: 12
  • Issue: 11
  • PageNo: 6812-6814
  • Abstract:
  • Background: Conjunctivitis is a common pediatric ocular condition often treated with antibiotic and corticosteroid combination eye drops. Although generally well tolerated, such combinations can occasionally lead to rare adverse drug reactions (ADRs), including subconjunctival hemorrhage. Objective: To report a rare case of subconjunctival hemorrhage following the use of ciprofloxacin-dexamethasone eye drops in a child treated for suspected acute conjunctivitis. Methods: A 12-year-old girl presented to the outpatient department (OPD) of a tertiary care hospital with complaints of dark redness in the right eye. History revealed she had been previously treated at a local clinic with ciprofloxacin-dexamethasone eye drops for symptoms of redness, irritation, and watering of the eye. No history of trauma, systemic disease, or bleeding disorder was reported. Results: Within 24 hours of initiating treatment, and after only two doses, the patient developed a well-demarcated subconjunctival hemorrhage in the right eye, without pain or vision impairment. Upon presentation to the tertiary care center, the drops were discontinued, and conservative treatment with lubricating eye drops and cold compresses was initiated. The hemorrhage resolved spontaneously over 8–10 days. Conclusions: This case illustrates a rare but notable ADR to a commonly used topical steroid-antibiotic preparation in children. Clinicians should exercise caution when prescribing such combinations and educate caregivers on recognizing early warning signs. Prompt drug withdrawal can prevent complications and support full recovery.

Copyright & License

Copyright © 2026 Authors retain the copyright of this article. This article is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

BibTeX

@article{197388,
        author = {S. M. Biradar and Pranav Joshi and M. M. Patil and Shivaleela Sajjan and Basavaraj Hunasagi and Paramagond Mallinath and Runwal Dhanavanti and Santosh R. Awasthi},
        title = {Subconjunctival Hemorrhage following Ciprofloxacin–Dexamethasone Eye Drop},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {12},
        number = {11},
        pages = {6812-6814},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=197388},
        abstract = {Background: Conjunctivitis is a common pediatric ocular condition often treated with antibiotic and corticosteroid combination eye drops. Although generally well tolerated, such combinations can occasionally lead to rare adverse drug reactions (ADRs), including subconjunctival hemorrhage.
Objective: To report a rare case of subconjunctival hemorrhage following the use of ciprofloxacin-dexamethasone eye drops in a child treated for suspected acute conjunctivitis.
Methods: A 12-year-old girl presented to the outpatient department (OPD) of a tertiary care hospital with complaints of dark redness in the right eye. History revealed she had been previously treated at a local clinic with ciprofloxacin-dexamethasone eye drops for symptoms of redness, irritation, and watering of the eye. No history of trauma, systemic disease, or bleeding disorder was reported.
Results: Within 24 hours of initiating treatment, and after only two doses, the patient developed a well-demarcated subconjunctival hemorrhage in the right eye, without pain or vision impairment. Upon presentation to the tertiary care center, the drops were discontinued, and conservative treatment with lubricating eye drops and cold compresses was initiated. The hemorrhage resolved spontaneously over 8–10 days.
Conclusions: This case illustrates a rare but notable ADR to a commonly used topical steroid-antibiotic preparation in children. Clinicians should exercise caution when prescribing such combinations and educate caregivers on recognizing early warning signs. Prompt drug withdrawal can prevent complications and support full recovery.},
        keywords = {Subconjunctival Hemorrhage; Ciprofloxacin-Dexamethasone Eye Drop; Adverse Drug Reaction (ADR); Pediatric Conjunctivitis.},
        month = {April},
        }

Cite This Article

Biradar, S. M., & Joshi, P., & Patil, M. M., & Sajjan, S., & Hunasagi, B., & Mallinath, P., & Dhanavanti, R., & Awasthi, S. R. (2026). Subconjunctival Hemorrhage following Ciprofloxacin–Dexamethasone Eye Drop. International Journal of Innovative Research in Technology (IJIRT), 12(11), 6812–6814.

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