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 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.