Serious spinal sequelae following the use of eye drops

Sir,

The recently updated NICE glaucoma guidelines¹ highlight the need for explaining to patients the technique of how to instil an eye drop. In an attempt to elevate the cornea away from the lower lid to reduce the chance of the dropper touching the cornea, we often ask our patients to look up. This movement may hyperextend their neck and atlanto-occipital joints.

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