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. 2024 Oct 14;20(2):30–41. doi: 10.17925/EE.2024.20.2.6

Table 3: Types of dose containers based on units and use of preservatives2.

Type Feature Limitation Implication(s)
Multidose artificial lubricants with preservatives Economic versus unit dose Contains preservatives Greater risk of adverse changes to the ocular surface and toxicity
Dispensers with unidirectional valves Multidose bottles yet preservative-free Expensive Availability issues Lesser risk of adverse events May be less commonly used
Unit dose, preservative-free Absence of preservatives Expensive More difficult for less dextrous individuals to open Lesser risk of adverse changes to the ocular surface and toxicity
Disappearing preservatives containing multiple dose drops:
Oxidative preservatives
  • Sodium chlorite

  • Sodium perborate

  • Polyquaternium-1

Sodium chlorite decomposes into chloride ions and water when exposed to UV light after instillation, and sodium perborate decomposes into water and oxygen in contact with the tear film May have negative effects on the ocular surface Avoid issues with long-term exposure to preservatives Lower impact on the ocular surface

UV = ultraviolet.