I’m a fainter. I’m not ashamed to admit it. In fact, whenever there’s blood or needles involved, I know after much experience that I need to start out sitting or lying down or I’ll end up flat out on the floor. It’s vasovagal syncope — the condition under which a stimulus causes the sympathetic nervous system to dilate the blood vessels, precipitating a rapid drop in blood pressure. With that drop in blood pressure comes a decrease in the amount of oxygenated blood being pumped to the brain, and loss of consciousness. It’s been a long time since I’ve actually fainted, though. Like most people who experience this phenomenon, there are a number of precursors that signal an impending faint: tingling fingers and toes, fuzzy peripheral vision, nausea, lightheadedness and sweating. When I get these signals, I lie down, take some good deep breaths, and start tensing and releasing my arms and legs to get my blood pumping. The feeling usually goes away within a minute or two, and after about five minutes, it’s as though nothing happened.

Here’s the thing, though: it isn’t just blood or needles. I’ve nearly fainted in the dentist’s office, standing at the checkout desk after having a cavity filled. And last week, I almost passed out at the eye doctor’s. Before checking for glaucoma and injuries to my cornea, Dr. Brigham gave me eye drops with fluorescein dye in them to help with the examination. They didn’t do anything to affect my vision, unlike the drops used to dilate one’s pupils, and they stung just a bit, but no more than the antihistamine drops I have for severe allergies. Regardless, after about 30 seconds, I started to feel those tell-tale signs. It was embarrassing, even more so after the doctor commented, “That’s never happened before.”

That got me to thinking: what is is about my body that it can’t distinguish between mildly invasive or uncomfortable procedures, and serious injury? I started to do a bunch of research (because that’s what I do), and I haven’t been able to find a description of anything that matches my pattern of fainting. There’s lots of stuff out there about people who are afraid of needles or who faint at the sight to blood, but that’s not what’s going on with me at all. In fact, I have some empirical evidence to this effect. Several years ago, I had a whole bunch of blood work done, including a bleed-time test to check coagulation. A typical test involves making a small incision on the forearm, and then timing to see how long it takes for the incision to clot under constant blood pressure. To ensure constant pressure, the lab tech put a blood pressure cuff on me, and I take the fact that both my blood pressure and pulse were completely normal right up to the stick as evidence of a lack of any anxiety or fear on my part. As soon as the incision was made, however, my blood pressure dropped and the tech had to pump up the cuff again to bring up the pressure in my arm and ensure the validity of the test.

My sister is a physician, and an email to her prompted the following reply:

You aren’t fearful of these things, but the “noxious” stimulus triggers an exaggerated reflex response… Sounds like you have a response to somewhat invasive superficial stimuli such as a needle poking you or the fluorescein being dropped into your eyes.

This makes me feel a little bit better. I also found an article from the journal, Clinical Autonomic Research, called “Vasovagal Syncope and Darwinian Fitness,” which frames the issue in evolutionary terms. Interesting, and somewhat calming.

What would make me feel much better, though, would be reading something about other cases like mine, where seemingly benign procedures trigger my body’s shock response. That’s part of the purpose of writing this post, so that when someone else searches for stuff about syncope and overreactive reflexes, they’ll come up with something.

Fun with Vasovagal Syncope!

156 Comments

  • 1 Dana wrote:

    I had the same thing just the other day with my eye exam. I didn’t faint, but I felt like I could, and I had to stay on the floor for about 15 to 30 minutes. The optomotrist said she has seen about 60 cases of near-fainting with the eye drops in her 20 year career. I’m also having trouble finding anything about it on the web.

    March 23, 2007 at 4:06 pm Permalink

  • 2 Nancy M wrote:

    I just had the same vasovagal fainting that was described by others after eye drops were administered and the pressure glaucoma test was done. It happened within 5 minutes of the drops being placed in my eyes. I was out cold for about 5 minutes and needed about 2 hours to recover! I didn’t receive very much reassurance from the medical community. Very glad to see your posting to feel like I’m not the only one. I, too, was not anxious about the exam.

    April 26, 2007 at 9:25 pm Permalink

  • 3 Kevin wrote:

    I had the same thing happen with the same drops. I passed out only long enough to fall off the chair and hit me head on the floor. Then I woke up. I was shaky for about 2 hours, then I felt ok.

    But I also just had this same problem with contact lenses. I have never had contacts before, and I decided to get fitted for them when I decided that my vision was bad enough to do something about it. I put the test pair of contacts on, and after about 2 minutes, I started feeling faint. I took the contacts out, and I had to sit down for about 20 minutes before I could leave without fainting. It’s been about 3 hours now, and I STILL feel lightheaded and dizzy…

    December 18, 2007 at 2:13 pm Permalink

  • 4 Brian wrote:

    Same response here, both to dilation drops and the dye drops. allergy drops do nothing, nor do contacts. It sucks because I want to give Lasik a shot, but I know I’ll never make it through all the tests. I’m out like a light in a matter of seconds after the drops are administered.

    December 18, 2007 at 5:23 pm Permalink

  • 5 Cheryl wrote:

    My 18-year-old son experienced the same response after getting numbing drops in his eye for his LASIK testing. He was fine with all the other tests, but the drops seemed to have triggered the vasovagal response…I was with him through all the tests and was told to just wait in the exam room while they did that one last quick test where they check the thickness of the corneas. My son said he was losing his vision and then fell out of the chair (hitting his head on a wall and his knees on the table holding the machine). We went AGAIN for further testing (about a month after the first appointment). Everything was fine until he got the numbing drops…He then started feeling dizzy. Due to our previous experience, the doctor was smart enough to have him lie down in the chair for about 15 minutes. My son then proceeded with the testing and after a few minutes went into the bathroom and threw up. Needless to say, the doctor told him this condition makes him a bad candidate for eye surgery.

    One note from one of the techs who had worked with young military men…he noticed this condition being more common in very young, physically fit men. I’m not saying that is for sure an indicator, just an interesting thought.

    July 15, 2008 at 2:45 pm Permalink

  • 6 Maryann T. wrote:

    Me, too! Within 2 minutes of getting numbing eye drops, I get VERY dizzy and nauseous. If I don’t lie down and close my eyes for 1/2 hour, I’m confident I’ll faint or throw up or both. I’m usually wiped out the rest of the day. My optometrist (who first gave me the drops) was familiar with the reaction and explained it to me. Three opthamologists since then have looked at me skeptically saying they’ve never heard of it before. Two of those docs gave me the drops even though it was on my chart not to. I had the same reaction then, too. Both docs got very defensive about their error and one tried to convince me that it was psychosomatic (sp?) and suggested I was making it up because I didn’t want the eye exam. Jerk! I have never fainted, but I do get light headed if I watch a blood draw. Shots are no problem. I also get sea sick. I wonder if this is related, too.

    July 22, 2008 at 3:47 pm Permalink

  • 7 Maryann T. wrote:

    Another note: I am a 42 year old woman and first experienced this reaction when I was 28. My most recent reaction was last year. The doctor who put the drops in had the good sense to immediately flush out my eyes when I realized what she’d done, and the reaction was much less than before.

    July 22, 2008 at 3:49 pm Permalink

  • 8 Alysha wrote:

    I actually did faint when getting those coloured eye drops just this week. I’ve never fainted in my life, and definitely wasn’t nervous going into the exam. It only took about 20 seconds for the fainting to happen. When I “woke up” ten seconds later, I couldn’t see, could barely hear, forgot where I was for a few seconds, I was sweating all over and I could barely move! With help getting to the bathroom I almost threw up, but was able to control it. I had the second half of my exam today (where they put in the dilation eye drops) and I was scared out of my mind about it, but I didn’t faint or even feel like I might.

    July 25, 2008 at 4:23 pm Permalink

  • 9 Glenda wrote:

    I went with my 18 year old son yesterday for his first eye exam and dilation. I decided to go with him since he had never been dilated and I was afriad he couldn’t see to drive. I am very glad I listened to that inner voice because he fainted within 5 minutes of having his eye dilated. He got the words out that he was dizzy before falling face first out of the chair onto the floor. The doctor came in and woke him with smelling salts since we couldn’t get him to wake up. After about 10 minutes, we got him back up into the chair and tilted his chair slightly until they were ready to do his eye exam. He seemed okay and then all of a suddent fainted again but woke up fairly quickly with us talking to him. The optometrist feels that it was because of the dilation. We did go ahead and take him to the ER and the doctor there felt the same way and told us to never have him dilated without lying down again.

    August 7, 2008 at 11:55 am Permalink

  • 10 Ashley wrote:

    Just today I went for an eye exam and decided that I wanted to try contacts for the first time. So I was leaning back in the chair and he was putting in my right eye lense and then about 5 secs after it went in it started. Spots, cold sweat, dizziness, upset stomach… there I was sitting on the chair with my head between my legs, my head over a garbage can in an eye clinic of all places. He suggested that I go into the other room where he could put back the chair so I was more or less lying down for him to take the darn thing out. I guess people like us will never eperience life without glasses :( No contacts, no eye surgery.

    August 12, 2008 at 10:03 pm Permalink

  • 11 Ken wrote:

    Add me to the fluorescein syncope list.

    My old eye doctor used to give a drop from a single container before during the blue-light test, and I never had a problem. I’ve since moved, and when I went to a new eye doctor, he used a two-part system — first a drop, and then a different drop from a different container — if I remember correctly, it was packaged in a paper tube and was sort of dripping off the end of a long strip of paper — and I came really close to passing out.

    Glad it’s not just me.

    September 14, 2008 at 10:17 pm Permalink

  • 12 Karen wrote:

    I am planning to have Lasik surgery and went in for my initial consultation this week. They gave me numbing drops for the cornea thickness test. I felt like I was going to faint, lay down on the floor and actually threw up twice. Felt better within about 10 minutes and pretty much fine within another 15 minutes.

    I definitely am prone to fainting (usually if I haven’t eaten in a long time or if I see blood). But never at an eye doctor’s office! I’ve had dilation exams before, and they weren’t problematic.

    As some of the people noted above, the doctors told me that no one had ever thrown up from the numbing drops before, and thought it might be psychosomatic. One doctor just called me and said I may not be a good candidate for Lasik b/c the numbing drop test was the “least invasive” of the tests/surgery I would need to get.

    I wish the people at the Lasik office knew more about this, or were able to give me more advice. My eyes also felt stiff/numb for several days after the test. They’re just starting to feel normal again and it’s been three days. The doctor said she thought I might just have a very strong reaction/sensitivity to numbing drops. Any information any of you have on this would be much appreciated!

    September 18, 2008 at 1:06 pm Permalink

  • 13 Lisa wrote:

    my dad got so sick and passed out,sweating profusely at the eye exam(hes had several times) but the orange type drops did it–it caused a vagal response they said? it was so scarry cause they thought it was his heart,but after heart ck,it was ruled a vasovagal response and some are genetically more prone than others or pressure somewhere causes one? crazy things our body can do-

    October 9, 2008 at 4:59 pm Permalink

  • 14 Kyle wrote:

    The person that “diagnosed” me with Vasovago when I was 19 said it was most common in young, white, thin, tall males… aka, me. I haven’t ever actually fainted but I’ve come close and I always feel nauseus whenever someone else gives me a shot, draws blood, or messes with my eyes. The only “cure” I’ve found is lying down while the procedure takes place.

    For those that think this condition rules out contacts though, I wouldn’t be so sure. I’ve been wearing contacts for about 6 years (I’m nearly 24 now) and it hasn’t once been a problem. I think there’s a HUGE difference when you are the one applying the contacts/drops as opposed to someone else. I halfway want to try giving myself a shot (with a physician supervising, of course) just to see if I could do it. I’m willing to bet that not only could I do it, but that it would make me less nauseous than if someone else did it.

    October 30, 2008 at 1:37 am Permalink

  • 15 Lauren wrote:

    Glad to hear I”m not alone. Thankfully, my eye doctor is awesome. I have only had the pressure test done once…and only in one eye. I got the drops in one eye and he went to do the pressure test very quickly and that’s when I informed him I was going to pass out and throw up. I could not see out of that eye for the rest of the day and it took about 2 hours for the rest of my body to feel normal again. Thankfully my mom drove me so i could get home. My eye dr. told me that this kind of an episode, while rare during eye exams, had a name and was a well documented occurance (more often due to needles and the other triggers) and that I should worry about it, just recognize my triggers and take precautions during those kind of situations. Because I’m only 26, i’m not real worried about glaucoma yet, so it’s in my chart not to use the numbing drops or do the pressure test. Obviously when I’m much older I’ll have to suck it up and let them do it, but clearly i will ensure that i’m lying down and that they have salts nearby, hehe. I also pass out whenever I get a shot or have blood drawn or get mildly injured. You know when you bump your knee in that one spot on your knee cap that hurts like a you know what, more often than not, that kind of silly, only hurts like that for a short time, makes me get the tell-tale signs of the vagal response and i feel like i’m gonna pass out. I really just thought I was a big baby, and i may still be, but at least I know that there’s an actual condition and name for my reaction!

    November 10, 2008 at 4:34 pm Permalink

  • 16 Misty wrote:

    I passed out at the eye doctor 10 years ago when I was 17. The doctor had told me it was probably the pressure test, and though it was scary, I got over it. I have had slight anxiety from then on whenever I went to the eye doctor, but for 10 years and 1 exam every two years, I never passed out again. I usually don’t feel great when they put the drops in, but I haven’t passed out again. Until today that is. I went to the eye doctor today for my usual every two year deal, and I told him I had this issue once. This is also why i had my fiance there with me. And sure enough, I don’t know what was different today, but he never even got to the pressure test! He never touched my eye…but as soon as those drops went in it took less than two minutes for me to begin saying I was going to pass out. It is the most horrible feeling on the planet. Right before I went out I remember thinking over and over “911″ but I couldn’t say it. The doctor had run out to get me some water, my fiance was there holding my hand I guess, and out I went. I guess I was only out for a few seconds, and I awoke to my fiance trying to wake me up. And for a small time, I had no idea where I was or what was going on. I felt like I couldn’t breathe right and my heart felt like it was going to just explode. After a few minutes I started sipping some water and within 10 minutes or so of waking up I felt mostly normal, though my eyes still ached (and still do now 6 hours later). This response scared me very much as there are major health problems in my family history. While I am happy to know I am not the only one with this issue, I would feel much more comfortable knowing what causes it and what to avoid. I can tell this is actually fairly rare, since there is very little information on the internet.

    December 8, 2008 at 11:42 pm Permalink

  • 17 osric wrote:

    I’m 55 years old and never had a problem with fainting or vasovagal syncope or whatever you want to call it. I first passed out at a normal eye exam about 3 years ago. I never was bothered by the exams before, but I just got through driving all night and got virtually no sleep, so perhaps that had something to do with it. Although I felt like an idiot, I didn’t think much about it. However about a month later I passed out at the dentist. I ended up getting all sorts of tests and everything was fine. A doc finally said it was anxiety and the fainting was vasovagal syncope. Now I pass out at every doctor’s visit or even when visiting someone in the hospital. I don’t feel anxious or depressed, and I don’t even fear doctors or medical things, what i fear is passing out and making a idiot of myself. I never feel faint except around doctors, and don’t have any other medical issues. My family doc just laughs and says that it happens to a lot of people and it’s nothing serious, but it really sucks to fear going to the dentist because I know I’ll end up fainting. Anyone have any ideas how to stop this nonsense??

    December 13, 2008 at 10:54 am Permalink

  • 18 Daniel wrote:

    After an eye examination today I discovered that I too have vasovagal syncopy. I passed the fluorescein stain test without problem, but was affected about 5 minutes after the eye dilation drops were administered. The technician had left the room and wasn’t coming back for 10 more minutes. So I was sitting in the chair, wondering why my mouth seemed dry when I started feeling lightheaded and incredibly hot. While debating if this was just my imagination or a result of boredom, I became more lightheaded and was sweating profusely. Concerned that if I tried leaving the room to ask for assistance that I might pass out on the floor, I instead slouched in the chair in the hope that I wouldn’t fall out if I fainted. I came very close to fainting, but within about 3 minutes was feeling better, and within 6 minutes I was perfectly fine (although quite soaked in sweat). When the optometrist returned she was quite concerned and got me some water. She also said it usually happens to 1 patient a week (it’s a large eyecare clinic). Typically it’s more common in morning appointments, when the patient doesn’t eat breakfast and has low blood sugar. She also said low blood pressure can aggravate the problem. In my case, I’m very healthy, age 28, 5’9″, 150lbs, with low blood sugar, low blood pressure, and low body temperature (96.5F). A few hours later I realized I’d had an almost identical experience during the summer while donating blood. At the time my co-workers and I concluded it was from mild heat exhaustion that day (I work outdoors), mainly because we couldn’t think of a better explanation. That day was my 8th time donating blood (1st time in 2 years), and I’d never had a problem before. So at least in my case this appears to be a relatively recent development. I have to say finding this page and the replies has definitely eased my mind a lot.

    December 15, 2008 at 11:29 pm Permalink

  • 19 Tallmom wrote:

    I am very happy to have found this site. I will forward to our eye doc immediately. Healthy, 18 year old son had first-ever attack of ‘vaso-vagal’ just after his first, thorough eye exam. What happened first, he said, was total blindness, and then the passing out. He doesn’t know how long it took before his vision was restored. Paramedics called, etc. I (his mother) have vasovagal reactions sometimes and does one of our daughters. But I am left wondering what might be in the drops. Our son has allergy to wheat, dairy, grasses, dogs. Any reason the drops could be causing an allergic reaction?

    December 19, 2008 at 8:04 am Permalink

  • 20 Molly wrote:

    WOW!! I thought I was crazy until my hubby told me to look online for such an odd thing happening. I was at the eye dr today and had an routine eye exam and again, like you all, was fine until they administered the drops. I am known to faint to morphine and blood draws but this really threw me for a loop!! I thought I was crazy and was freaking out after I was out of the exam. Its now 9 hours later and I believe my eyes are still somewhat dialated..Is that a bad thing?
    It seems like we all have more questions than answers on this site. How unfortunate. I’ll ask my mother in law who is a ped dr to see if she’s ever heard of this and her synopsis.
    Meanwhile. Im glad Im not the only one, unfortately :(
    Happy Holidays and stay conscious!!! haha
    Molly

    December 23, 2008 at 1:45 am Permalink

  • 21 Heather wrote:

    I passed out at the eye doctor today! I took my daughter for her state-required kindergarten eye exam and figured I would have an exam too, since it has been way too long. Anyway, they gave me the drops and had me hold her on my lap so they could test her eyes while mine dilated. Suddenly, I started feeling hot, dizzy and nauseated. My vision was blurry and I heard a buzzing noise in my ears. I said that I thought I was going to throw up and then I passed out cold. Luckily, the Dr. caught me and my daughter and acted quickly. My daughter didn’t even know anything was wrong, they took her to another area for her test while I laid flat for about twenty minutes. My hands and feet were tingly for a long time as well. I passed out about ten years ago from dehydration caused by a symptomless infection, and I remember the same pre-fainting warning signs. I was scared and embarrassed, but I’m glad to see that I’m not alone. I just thank the Lord that I wasn’t alone in the room and that I didn’t hurt my daughter. The Dr. noted my chart to NOT give me eye drops again :-)

    December 27, 2008 at 7:28 pm Permalink

  • 22 Marie wrote:

    I’m very glad to hear I’m not the only one either! I have NEVER fainted in my life…my mom does all the time when she sees needles/blood and i just laugh. But i went to the eye doctor today and he gave me those numbing drops (they had a yellow dye in them) and he start checking the pressure in my eye and it wasnt but 10 seconds after I had trouble breathing and couldnt keep my eyes open…then my head started drooping down and his voice got fainter and fainter….next thing i knew i was holding a towel on my forehead and the assistant was giving me a drink of water! i felt so stupid…more like a pansy…but im just glad im not the only one! the doctor said it wasn’t uncommon so that made me feel better…but then again i was like “wait…what if he is just saying that to make me feel better..” Now im nervous to get another glaucoma exam!

    December 30, 2008 at 11:18 pm Permalink

  • 23 Debbie wrote:

    Wow, what a shame that the ophthalmologists & optometrists aren’t more in tune with this condition. I had similiar experience getting dilated after the drops were administered, I was out. I was not anxious at all prior but once they put those drops in I knew I was going to faint. I had to lay on the floor in my business suit for over an hour before my blood pressure came back up. It was quite humiliating and I sure didn’t get much sympathy from the doctor. I also had a similiar experience getting fitted for contacts. I heard there is an optical camera that can be used in lieu of getting dilated but I tried to google it without any luck. Wish we could get some answers.

    January 22, 2009 at 4:21 pm Permalink

  • 24 Chris wrote:

    I’ve had problems with this since I was about 12 years old…every time a needle came near me or I watched someone who had something done, I would come close to fainting.

    About 15 minutes ago I went for a blood test but before that I had a coffee with 2 tablespoons (not teaspons!) of sugar and I’ve come out perfectly fine – first time in my life! I still took the lying down on the bed option – just to make sure :)

    One key is getting your blood sugar level up before you go.
    And like Kyle who posted – I am a tall, thin, white young male

    Over the years it’s gotten slightly better – I used to be unable to walk into a hospital and smell the hospital smell without getting like that – at least I can handle that now…I still have problems with needles at the dentist or doctors..but I think if I do it again, it’ll be a suped-up coffee!

    January 27, 2009 at 5:23 pm Permalink

  • 25 Jane wrote:

    Hi all.
    I am 16 and have vasovagal syncope. And it is absolutely horrible. I was diagnosed when I was about 13. I have had all the tests done for it and need medication, but they couldn’t give them to me because I use to take Concerta for ADD. But recently over the past summer I was diagnosed with limes disease and had a small encounter with anorexia. I’m very interested in taking medication to prevent vasovagal syncope episodes if anyone has any information on the medicines they normally prescribe please let me know. My parents are threatening to not let me get my drivers license, I just want the episode to stop. Please help!!

    January 27, 2009 at 9:16 pm Permalink

  • 26 Nick wrote:

    I also had a similar response. I was getting examined for a possible LASIK procedure today and about 10-15 minutes after getting the dilating eye drops put in I started to feel slightly light headed as I walked into the examining room. I wasn’t nervous as I had done another consultation with eye dilation just a few days ago. However they started taping down my eyelids and I briefly passed out. I think it was definitely related to the eye drops though because the place I went used extra strength drops because I have very dark brown eyes. Well they definitely did the trick because my eyes are still dilated almost 9 hours later.

    I’m not sure if there isn’t some sort of chemical in the drops that could cause a drop in blood pressure because I don’t have a problem with eye contact (I’ve worn contacts for the past 8 years). Definitely weird, although I think my ophthalmic assistant was far more freaked out than I was!

    March 13, 2009 at 5:52 pm Permalink

  • 27 mjb wrote:

    This just happened to me today when I had the glaucoma pressure test done during a routine eye exam. I was fine after the drops went in but as the test neared the end, I started to feel lightheaded, sweaty, warm and clammy, and then could tell I was passing out. The student doctor had noticed a change in my breathing, so she finished up and i took my hoodie off. She let me lean back, (laying on the floor would have been better knowing now what was going on), and I guess i was out for a few seconds. Very strange, I came back to normal after a couple minutes.

    March 31, 2009 at 6:36 pm Permalink

  • 28 David wrote:

    This is all very interesting. I too went to the eye dr a few days back. Everything was going just fine with the light testing being done by an understudy, then the dr placed the dye drops in my left eye and within a few seconds I felt as though I would faint. The next thing I remember, I heard the dr saying “yes, call 911″ and I was thinking I wonder what happened to someone. I then realized that it was me waking up from this vaso-vagal syncope like everyone else has mentioned. I was also told that I had a seizure for about 10-15 seconds. I remember nothing except feeling like I was going to faint and then felt like I was trying to wake up from a bad dream. The back of my head was drenched with sweat and I was really freaked out when I heard I had a seizure. He called it bells palsy, my arms went straight out and I twitched all over. I have fainted once that I remember when I was about 8 years old having a wart cut off of the palm of my hand. I’ve had several surgeries, and at least one traumatic injury as an adult with no instances of syncope. I’m 40 now, and I am convinced that I had a reaction to the drops placed in my eye, these were a dye drop not the dilating drops. The onset was immediate, I barely had time to say I felt dizzy & it was lights out. The paramedics arrived within minutes and my BP was 130/90 and blood sugar was 110, even though I had not had breakfast (normal for me) and it was about noon at the time. Has anyone else heard of this type of seizure during an eye exam in an otherwise healthy adult?

    May 4, 2009 at 2:36 pm Permalink

  • 29 Alice wrote:

    This just happened to my big strong very healthy husband. Who the heck passes out from eye drops, right? He got the drops to look in the eye–not the dye ones– but the ones before they just look and do the glaucoma test. He said they stung so he closed his eyes and then wham he was out. He was out for about 20 seconds, woke up and was disoriented and shaky. Usually the doc said folks come around quickly but he just couldn’t stop shaking. He was taken to the ER and admitted to the hospital. The neurologist said it was this vasovagal reaction. She said it is not a seizure even though it looks like one since people pass out and sometimes shake like happens in a seizure. It doesn’t affect brain wave function. She said it’s not that uncommon—it even happened to her before. She said the drops cause a restriction in the vessel and the body then goes into a “fight or flight” reaction, blood pressure drops rapidly and the person passes out. She told us not to worry since my husband is young (late 40′s) and this has only happened once. Crazy, huh? Passing out from an eye exam..who knew?

    May 5, 2009 at 10:23 pm Permalink

  • 30 Cheryl wrote:

    How reassuring to read so many comments from people with the same reaction!!!

    I am a 31-year old female and have had vasovagal syncope episodes triggered by blood and needles from the age of about 13. The first time I experienced it was when I was really ill and my doctor ordered a dozen different blood tests to find out what was wrong with me. I had 8+ vials of blood being drawn after doing a 12-hour fast, and as soon as I headed back to the waiting room I started sweating, feeling the room spin, and then my peripheral vision started to black out and my mother (a nurse) recognized what was happening and shoved me into a seat and forced my head between my legs, and I was then escorted to a bed where I could lie down.

    Since this episode I am careful to tell health professionals of my history of vasovagal syncope and my generally low b.p. (90/65) when I know I will be exposed to blood or needles, and although I always experience the first symptoms, I never pass out as I will usually endure medical procedures while lying down.

    This afternoon I went to the ophthalmologist to participate in a voluntary research study where ironically I was intended to be the “healthy matched control”. I have 20/20 vision and have never needed to have any other eye tests before today, and was unprepared for what happened when I had my eyes dilated! At first I didn’t recognize the out-of-context symptoms, but then I was certain I would pass out without help but the doctor had left me alone in the room. I tried to go to the waiting room to tell the receptionist and my vision completely blacked out and I was incapable of speaking. I don’t think I actually lost consciousness but the receptionist propelled me back to my seat in the examining room, and reclined the seat so I could lie down. She brough me water, and the doctor put a cold cloth on my forehead.

    I was so worried that my phobia had reached new and bizarre heights, and I am so relieved that others have experienced the same thing from an eye exam. Thank you ALL for sharing!!!

    May 9, 2009 at 1:56 am Permalink

  • 31 Peter wrote:

    So grateful I found this thread. I never had any problem with fainting until today when I went to the eye doctor for the glaucoma test. After he dilated my eyes he sent me to wait outside and I suddenly couldn’t hear properly, felt nauseous, broke out into a cold sweat and nearly passed out. I was terrified. The doctor didn’t seem phased by it and just checked my pulse, put some wet towels on my head and neck and got a candy off one of the other patients. Glad to see that it’s not just me. On the downside, the doctor didn’t want to administer any more eye drops so I had to wait until my eyes naturally undilated themselves, which although he said would take 1-2 hours actually took 7 hours !

    May 12, 2009 at 6:14 pm Permalink

  • 32 Jeff wrote:

    I had a vasovagal syncope at the eye doctor in 2004. I wasn’t so lucky. I told the Dr. I was feeling woozy, and she said it was just a side effect of the anesthesia. The exam ended and I was feeling worse. We started to walk back to the front waiting area and I fainted. I woke up in extreme pain. I had fallen face first and landed on my chin. I shattered both condyles on my jaw, broke a few teeth, and suffered a severe gash across my chin. Imagine an uppercut from a cinder block and you’ll have the results.

    Do not let the eye Dr. tell you that they have never heard of this reaction. It exists. It is real. Just ask my attorney and the slew of professional witnesses that served on my malpractice case. If you say you aren’t feeling right, they have an obligation to stop everything and tend to you.

    Most people would find this site after the fact; why else would you be here? I wish Ophthalmologists were better prepared and educated, and willing to admit that this is indeed a real condition.

    May 27, 2009 at 1:23 pm Permalink

  • 33 John wrote:

    The same thing happened to me this week. The doc put the colored eye drops in and checked both eyes and suddenly I started sweating and my mouth went dry. I started breathing deeper in order not to pass out. This was the second time this has happened to me. Last time I was tested was six years ago and I just assumed it was a fluke reaction. I wasn’t nervous or anxious at all. This reaction just comes out of the blue and freaks me out. I wish I knew what was in those drops.

    May 31, 2009 at 11:20 pm Permalink

  • 34 Mac wrote:

    Gosh, am I glad to have found this thread. Just got back from the eye dr where my 16 year old daughter fainted and convulsed/twitched after the numbing drops (not yellow) and dialtion drops were put into her eyes. She was totally out for a short while, then did well then felt totally nauseous for hours. Poor thing. We thought it was just her being melodramatic but now I see it really is a reaction to the drops. I had had my eye exam in the morning so we were able to closely compare the feelings we had: she experienced much stronger pain and sensations in her eyes following the drops. For me it didn’t feel bad in any way.

    June 1, 2009 at 4:26 pm Permalink

  • 35 Cathy wrote:

    I am glad to read all this and to know my daughter isn’t the only one with this condition. It started a couple years ago when she was 14 and wanted contacts. As soon as the dr. put in one contact my daughter fainted. A year later my daughter wanted to try again but said she had to put in the contact. So we went back to the dr and my daughter put the contact in and fainted again. The dr. said no more contacts! Yesterday, we had to go to a different eye dr. and the dr. put the drops in for the glaucoma test and did the testing with the machine and all was fine. A couple minutes later, my daughter’s leg jerked and she had passed out and was twitching, like having a small seizure. After a minute or so, she woke up not knowing what just happened. I think the dr. was more freaked out than me. I guess she won’t be getting Lasik in a few years! She is the only one in the family with this problem too.

    June 28, 2009 at 10:39 am Permalink

  • 36 Glenda wrote:

    If you notice in this thread above I have posted to this site before (August 7, 2008) when my first son (then 18) passed out twice in the office after his eyes were dialted. Well, I took my 2nd son (now 18) to the eye doctor on Friday, June 26th for his first eye visit to have his eyes dialated and he passed out as well but his was more like a seizure than passing out cold like my other son. The first son required smelling salts for us to ever wake him up the first time and the paramedics were called. This time son #2 woke up on his own but had the panic feeling of not knowing where he was or what was happening to him. My mother has glaucoma but we have not heard of any other eye problems in either of our families. It is just very strange how this can happen to both of my children.

    June 29, 2009 at 9:46 am Permalink

  • 37 ned wrote:

    This has happened to me twice in my life, the first time after catarac surgery and then today at the dermatoligist’s office. Today, after the nurse did some needle work on a chest cyst and another spot on my back,
    I became lightheaded, dizzy, began to sweat, and lost the color in my face.
    I came very closed to fainting. The nurses gave me some kind of smelling stuff, took my blood pressure which had dropped way below normal, then gave me cold water to drink and applied cold wet towels to back of neck and forehead. Scarey, but 15 minutes later I was okay. I’m happy to learn more about this “condition” and to know it has a name.

    August 31, 2009 at 6:41 pm Permalink

  • 38 Barb wrote:

    Glad to find these posts. This happened to my 14-year old son at his eye appointment this morning. I literally had to catch him as he fell to the floor. He was only out a few seconds — then back to normal, as if nothing had happened. (This was the first time his eyes were dilated.) The doctor said next time he’ll need to sit for awhile and not get up right after the drops. I read on another site that teenage boys are the ones most likely to have this condition. I’m wondering if he can outgrow it.

    September 12, 2009 at 10:43 pm Permalink

  • 39 Amber wrote:

    I too nearly fainted today after receiving the eye drops and glaucoma test. I asked the doctor if he thought it was the eye drops, but he felt it was due to the pressure placed on my eyes from the glaucoma test itself. He did try to rinse the drops out of my eyes several minutes after I felt faint, but it was absorbed by my body already. The doctor said he’d seen this once or twice before and had the sense to lay me down immediately.

    My symptoms started about a minute after the test. I felt suddenly nauseous, then dizzy, and then I broke out into a hot sweat like a hot flash I suppose. I felt dizzy and agitated as well.

    The doctor said my blood pressure had dropped significantly and the technician said I looked extremely pale when the doctor called her in to help.

    A note was placed in my file and a letter sent to my doctor.

    October 13, 2009 at 11:54 pm Permalink

  • 40 Dianna wrote:

    I too have vasovagal syncope (29yo female, 4th year medical student), but I have convulsive syncope so I get a grand mal seizure type activity every time I pass out (urinary incontinence/tongue biting). The neurologist thinks I have a low seizure threshold. It had only happened 5 times (blood draws and concussion), but last summer, they did the “new” glaucoma test (not the puff of air), and I had the syncope/seizure a few minutes after they touched the tocometer to my eye. I wasn’t even aware that anything touched my eye (because it was numb). I had assumed it was the touching of the eye and not the drops that caused the syncope. Did you guys have the glaucoma test and pass out or just the drops and pass out? I’m trying to decide whether to tell them not to ever use flouriscein drops or just not to get the tocometer glaucoma test.

    Incidentally, the eye doctor decided to finish the eye exam!…here I am, sitting in a pool of my own urine and feeling nauseated and diaphoretic, but yeah, let’s check my vision NOW!!

    October 21, 2009 at 7:46 am Permalink

  • 41 Diana wrote:

    I was at the Opthamologist’s office today for a routine exam. When the doctor put the drops in my eyes for the glaucoma test, I immediately started to feel numb and dizzy. The doctor said that I lost my color and looked as though I may faint. She got me some water and apple juice and left me to relax. I ended up not fainting and felt better after about 15 minutes. The doctor later told me that she has had other patients faint upon administration of the eye drops. Previously I’ve broken out in sweats and felt faint after giving blood for routine blood tests.

    November 20, 2009 at 11:49 pm Permalink

  • 42 Melinda Maxfield wrote:

    This is FABULOUS!!! I finally figured out what has been plaguing me my entire life. My first episode was at age 11 when I fainted when visiting a friend in the hospital. Passed out cold! Then again when, performing at an old folk’s home at age 13, fainted during a Christmas show. (Lots of IV’s in the audience) Fast forward to the eye test 10 years ago… fainted, had to have smelling salts and oxygen. Then trying to get contact lenses ( hilarious!!!) I threw up and fainted and the doctor said i needed psychological help :) Husband in the hospital with a broken Femur, the nurse says “you look kind of…..” Woke up on a gurney outside his hospital room. (the family still laughs about that !) I am sooooo GLAD to know it is not just me being “squeamish” and to “buck up”…..

    November 22, 2009 at 8:54 pm Permalink

  • 43 susan wrote:

    Thank you to everyone for sharing.
    My 14 year old son suffered a fainting spell while getting fitted for contacts yesterday. He’s had other episodes – at the dentist, after getting hit hard by a baseball, at a school play, getting on a plane – and I thought they were anxiety panic attacks. I was planning to have him talk to a therapist.

    Do you think that would help?

    November 25, 2009 at 10:42 am Permalink

  • 44 Ava wrote:

    I am so happy to have found this site. I feel so bad for all these people but happy to know that my 9 year old is not ill.

    I took my son (9) to the eye doc last week and he fainted right after those yellow drops to numb the eye. That lasted a few seconds and then he threw up twice and looked white as a ghost as well as being sweaty.

    He was much better 30 mins afterwards, much so than I was. I have never heard of this but the eye doc knew all about it and he said it typically happens to the marine looking types, that work out and in good health.

    We have a doc appt on Friday to just be sure but this site has eased my mind.

    Thanks

    December 1, 2009 at 1:21 pm Permalink

  • 45 Dianna wrote:

    Susan, therapy will not help vasovagal syncope, it’s a physiological response not a psychological one. There is no treatment. Basically your veins dilate or widen inappropriately to bodily stimuli and your blood drops to your feet and pools in your lower extremities. This causes not enough blood to get to your brain and so your body faints, which causes your brain to be level with your feet/heart and blood can then get to your head. If he starts to feel weird (nauseated, darkness of the vision), have him lie down on a flat surface.

    For those of you who have this with blood draws, you will often get the false advice to “just relax” because they think you have a needle phobia. Relaxing may lower your blood pressure and instigate the syncope, so instead “pump” your leg muscles while they draw blood (clench or contract your calf muscles), this will allow blood to leave your lower extremities and allow blood to be part of the circulation. I’ve had a number of blood draws using this technique and not experienced syncope.

    -Dianna

    December 3, 2009 at 8:41 pm Permalink

  • 46 Mariana wrote:

    What a relief to find other people that have gone through the same thing. I’m almost 40 and today I saw an eyed doctor for the first time in my life. My dad has glaucoma so they numbed my eyes to check the pressure. After the assistant finished checking the pressure, which was probably no more than five minutes after applying the numbing drops, I began feeling extremely dizzy, lots of nausea, and weak. I’ve fainted only once in my life but I still remember what it was like the couple of seconds before it happened. Today I felt the same way but worse because I also felt the nausea. Unfortunately, the assistant did not know what to do. I instinctively put my head down between my legs and a minute later I began vomiting. After vomiting I felt some relief and noticed how my blood pressure was coming back to normal. After this the eye doctor came in and explained that this vasovagal reaction to the numbing drops was not frequent but that he knew it could happen. It will be difficult to go through this kind of test again.

    February 4, 2010 at 9:06 pm Permalink

  • 47 Michele wrote:

    I took my daughter to a new eye doctor. She is 15 and has been having her eyes examined since she was 3. She did the first part of the exam and was fine. They put the numbing drops in her eyes and then the dye off a piece of paper. The other doctor had never did the paper strip before. She was in the chair and had her chin and the device and slowly went down. I grabbed her and she remained sitting straight up. She was very clammy and couldn’t respond even though her eyes were open. She just kept answering me with huhu. Finally the doctor checked her pulse and it was good we reclined her and she still wouldn’t respond. The assistant used the smelling salts and she came right out of it. She states she remembers after the paper her eyes feel funny and then like she was in a tunnel. When she finally came out of it she complained her ears were ringing. She was soaking wet even though her hands were cold. It was scary to watch but then she was fine, got her eyes dilated and finished the exam with no other problems. Her pupils remained dilated all evening and she had a slight headache.

    February 12, 2010 at 12:19 pm Permalink

  • 48 Nicole wrote:

    It cracks me up that this post is three years old, but people are still posting to it because we’ve been so desperate to find other people with the same problem! I passed out once after an eye exam about six years ago, while sitting in the waiting room. Afterwards, the optometrist explained that he’d use the new numbing/eyeball-touching glaucoma test, and mentioned the vasovagel response. I’ve been putting off visiting the eye doctor since, but the two pairs of glasses I got back then are finally biting the dust, so I need to go in again. I’m just very anxious about it — I’ve been a fainter throughout my life (once after losing a tooth when 10; felt faint after getting my ears pierced; fainted wearing a corset costume in a hot room; felt faint after getting novocaine for the first time; fainted when attempting to give blood–even though they hadn’t stuck me with a needle yet(!); have to recline while getting blood drawn at the doctor.) I’m okay with shots, though, and allergy prick testing.

    I’m really hoping that the doctor will allow me to have the puff test instead of the touch test. I’d had the puff test at previous appointments and was fine, and have also worn contacts without a problem.

    For the record, my fainting episode at the eye doctor’s was my worst. I had a friend with me, incidentally, to help with picking out frames, and she said I had seemed to seize a bit while out. Even though I felt fine when we left the office, I almost passed out again in her car, so we went to the ER. I was released, but spent the entire afternoon napping–I was exhausted. I’d put off eating lunch before my appointment, and think that probably exacerbated my fainting tendency (I get shaky/nauseated from low blood sugar sometimes), but at the ER my blood glucose was 98, so they said that shouldn’t have contributed. Regardless, I plan to eat something substantial with a bit of sugar and salt before I go. Now if only I could get myself to SET the appointment!

    February 26, 2010 at 1:15 pm Permalink

  • 49 Elly wrote:

    I have V-Syncope and it mostly occurs at resturants even though I don’t go in on an empty stomach. It has occurred at an eye doctors office too. I faint and must lay down and raise my legs so that the blood flows back to my head. Imediately after an episode I must move my bowels. Does this happen to anybody else? I have had all the tests (tilt table included) and they point to V-Sycope. I can’t avoid retaurants and it could be a social problem for me. Any suggestions on how to best control these episodes?

    March 6, 2010 at 2:40 pm Permalink

  • 50 Dana wrote:

    So I have not had my eyes checked in over 20 years. I made an appointment yesterday to have a regular eye exam. Long story short….I do not do well with my eyes being dilated so during the eye exam everything was fine then the Dr. started to pull out some drops. I said “whoa what are you doing what are those drops?” he said I am not dilating them it’s a drop so I can see better in your eyes. It was YELLOW weird crap. Anyway then he proceeds with the exam and reaches for more drops…AGAIN I said what is that ??? He said it will dilate your eyes but I promise you won’t feel a thing and you won’t even know what I did. I said you better be right because if I end up on your floor passed out it will be your fault. He smirked and said you will be just fine. Then he proceeded to take me to the eye glass area to speak to them further. Suddenly I felt very very hot and started to sweat and felt my heart racing. I told the lady I needed to sit down. Then I really felt bad a little dizzy. I told her I need to go outside for some air. Last thing I remember is went to open the door out of the Dr. office and I woke up face down on a concrete floor in a pool of blood!!!! I blacked out!!!
    OMG!!!! then there were people all around me yelling call 911. I went to Hospital in ambulance. Had EKG , CT scan of my brain, 10 stitches in my head, I have broken teeth and a bone fracture. All with no DENTAL ins. YEAH!!!! !!! I am on pain killers and feel like I have been hit by a truck!!!
    I guess there is more of us out there ……these doc’s need to be educated on this

    March 6, 2010 at 9:28 pm Permalink

  • 51 Kelly wrote:

    Hi everyone, OH MY GOSH! I just got back from my routine yearly eye exam and had the same thing happen to me !!! The dr. put the yellow numbing drops in my eyes and within 30 seconds I felt dizzy, flush/hot, with an extremely rapid heart rate!! I felt I was about to faint! I asked the dr. for apple juice (which I tried at the dentist in the past when a similar adrenaline reaction happened after a novacaine/epinephrine shot) and drinking the small bottle of apple juice calmed the reaction down. I’m convinced it’s the drops that caused this reaction ~ I never had this happen at an eye exam before after drops and they tried to say it was anxiety in my head or asked if I had low blood sugar ~ neither of which was the case! I’m not diabetic & I know it’s not in my head!
    I immediately looked up the symptoms online and here I am ~ only to find that other people had the same thing happen at an eye exam. Funny that the eye dr. has smelling salts on the desk for people who just “randomly” faint at an eye exam! Seems to me that some of these eye dr.’s are concealing the fact that this is a real occurance caused by the eye drops and are unwilling to admit it!!! I even asked for drops with no type of medicine containing anything similar to epinephrine in it so they gave me something else ~ but for the first time ever at an eye exam I had this episode! Luckily I calmed my reaction by deep breathing, apple juice and staying as calm as possible. I was sure I would faint but didn’t. IT WAS SO SCARY!!!! I’m never getting eye drops at an exam again!!!

    My advice to anyone who had a similar reaction in the past or is planning an eye exam to consult with your physician beforehand regarding any medical issues you may have which could complicate this reaction from eye exam drops!!

    My success in calming the reaction within 5 minutes was to drink 12 oz of apple juice, breath slowing, relax and talk your way through it.

    March 11, 2010 at 4:26 pm Permalink

  • 52 Wayne wrote:

    I went out cold a minute after receiving both the numbing and dilating drops. Ten minutes later I threw up. I couldn’t continue the exam. I went out to my car and it took me over an hour before I could drive; I was weak the rest of the day. Awful!

    I was not worried leading up to the test. This came suddenly.

    There is hope. I have grown tolerant of blood tests, when I was having one a month for a while. Same with the Novocain at periodontal work. Also, my Doc said “as you grow older your nerves dull and the response should lessen.” I’m not sure if this is something to look forward to!

    Yes Elly…sometimes I have to move my bowels after a date with Vasovagal Syncope.

    March 13, 2010 at 10:31 pm Permalink

  • 53 Rachel wrote:

    My husband nearly passed out today after they dilated his eyes–he made it through the exam, but I noticed he was blinking a lot, and when the doctor finished he said he felt dizzy and needed to lie down on the floor. It took him about an hour to recover and get his color back. He says that he’s always had problems with needles and sometimes with injuries. He doesn’t think it is the sight of blood that causes the reaction, but rather just the fact that when he sees it, it causes him to think about the way blood and fluids move throughout the body. He’s nearly passed out a few times in college classes when the instructor is discussing the way blood or other fluids move or travel through the body or vessels. It is very strange, and he, too, is a tall (6’6″) white male.

    March 18, 2010 at 6:39 pm Permalink

  • 54 Jennifer wrote:

    Glad to find this thread. When I was in college I fainted and had a seizure while the glaucoma test was being administered. My eye doctor put his thumb in my mouth (I guess to stop me from swallowing my tongue) and apparently I really bit down on him hard! He was pretty shaken up. Of course, I now avoid the eye doctor at all costs, which I know is not a good idea.

    Sounds like the puff test doesn’t set off this reaction in people–just the drops/eye pressure test. Is that right? Can anyone here comment on experiences they have had with the puff test?

    April 11, 2010 at 10:27 am Permalink

  • 55 liz wrote:

    I have also had these episodes throughout my life and was diagnosed by my gp after passing out while lying down and looking like i was fitting, he took my blood pressure while i was out and when i tried to sit up after coming round it would drop sharply. He just told me to let anyone giving me a needle know and that was it. The most random reaction was when i had deep heat put on my neck it made me go. I am desperate to find some kind of solution as its stopping me from having dental work, not fear of the pain though, fear of the reaction as it is so frightening! Has anyone found sedation helps?

    May 18, 2010 at 4:44 pm Permalink

  • 56 Cody T wrote:

    Today, went and got my first eye test at 40. I can hardly see what I am typing due to the eye dilation. Yes, I too had the response of getting dizzy and feeling like I was going to barf as many here described. However, this was figuratively and literally an “eye-opener” to me.

    You see, twice over a decade ago, I went to the doctor and had the typical turn your head and cough examination. Both times, I got dizzy immediately afterward. I felt like I was going to pass out. Until today, I never had a scientific reason as to why. I completely believe now it was a vasovagal response. Funny how these things become known over the years. The only other time I felt like this was when my wife had an emergency surgery. I guess the stressors come out at that point. Ok… can’t see so I am going to stop. Ciao!

    May 21, 2010 at 12:29 pm Permalink

  • 57 ian roberts wrote:

    Its all very interesting as I had a pacemaker fitted in 2007 after my first severe vasovagel attack put me in the ic and a tilt table test stopped my heart for 21 seconds! I am now 56 years old and taken early retirement, I’m still slim, tall white male, keep relatively fit but still suffering low bp and pulse mainly in the mornings. I rise fine at 7 am but by 9 am I am ready to lie down again. I cannot take breakfast now nor a hot drink as it sends me down within 30 mins. I had not realised a link to glaucoma which I was diagnosed with in 2005. The puff test was ok but I am told the daily Xalatan eye drops work by lowering the pressure in the eyeball. So I’m wondering if they also exascerbate the low bp too. I never had many feinting spells in my life previously just occassionally. Any views on the link between anti Glaucoma medication and low blood pressure ?

    June 2, 2010 at 4:07 am Permalink

  • 58 Meredith wrote:

    I am only nineteen years old and I had those EXACT same reactions to both. After having my cavity filled, I fainted at the clerks desk, and then shortly threw up after. This past year, I also went to the eye doctors to get my anual check up and they put those numbing drops in so they could test for glaucoma.
    I have no fear of things getting near my eyes, since i do wear contacts everyday, and I am very used to putting them in and taking them out. I was fine through out the entire test but after about a minute I started to get hot like i normally do when I faint, but that time, instead of just fainting, I seized also.
    I have had blood tests of every sort, as well as blood pressure and sugar tests. I still cant seem to find anything wrong with me…

    June 14, 2010 at 5:14 pm Permalink

  • 59 John Antonides wrote:

    I take Alphagan for glaucoma for the past several years. I start feeling totally washed out about three hours after applying the drop. During the past four years or so I passed out five times at around eleven in the morning. I usually end up at the hospital where everything is checked out including blood pressure etc and all seems perfect.
    After four or five hours I feel fine and am sent home.
    The last time I fainted was at church where a nurse took my pulse immediately and told me later that she had been unable to find a pulse for at least two minutes.
    I am now applying the drops at noon so that I can feel well in the morning and rest most of the afternoon.
    I need two of these drops a day. The second one I apply before bedtime and it seems to have done its evil work by morning. No eye doctor or family doctor will believe me when I mention my experience with Alphagan. Is there anyone out there who thinks I may be right?

    June 22, 2010 at 7:18 pm Permalink

  • 60 Maryann T wrote:

    A follow up note: I read about a guy who went to Canada to get Lasik and passed out from the numbing drops. They gave him a shot of Atropine and it resolved the problem so he could proceed with the surgery.

    The dye drops these days also have the numbing agent in them. It’s not the dye that causes the reaction, it’s the anesthetic.

    This vaso vagal reaction has nothing to do with being strong or weak…it’s a nervous system reaction that cannot entirely be controlled. It is NOT psychological and it’s not about being afraid to have one’s eyes touched. Don’t let your eye doc. make you feel bad about this reaction. It’s not your fault.

    June 28, 2010 at 4:32 pm Permalink

  • 61 Maryann T wrote:

    I tried to complain to the FDA that there’s no warning on eye numbing drops so that doctors will be aware of this possible reaction, but without a specific lot # of medication that I had the reaction to, they wouldn’t even take the complaint!

    Then, I complained to the drug company that makes the numbing drops. They blew me off, too. I’m not a big proponent of lawsuits, but I think the only way this will change is if someone who got hurt passing out form the drops sues the doctor and the drug company. (Dana from Mar 6, 2010 post: I about cried when I read your story! If that happened to me, I’d be talking to a lawyer!)

    June 28, 2010 at 6:59 pm Permalink

  • 62 Jessica wrote:

    This exact same thing happened to me today! I am 25 and have been wearing contacts for 14 years. Until today, my eye doctor had always used the air puff test to check for glaucoma. Well today they used the fluorescent yellow numbing drops, which did not bother me or make me anxious at all since I am used to using eye drops and contacts. Well, about 3 minutes after the test, I felt extremely dizzy and hot. I was sweating profusely, and the technician had me lay back in the exam chair. She was really sweet, and even fanned me with a folder for about 5 minutes. We tried to continue the exam, but I had to excuse myself to the bathroom and recover for about 10 minutes. This has NEVER happened to me before. Like I said, I have been wearing contacts and getting my eyes checked for 14 years, and never get nervous about an eye exam. There is definitely something in those drops that sets off this reaction in some people, and I am actually kind of relieved that so many other people have experienced this.

    July 1, 2010 at 5:59 pm Permalink

  • 63 ian roberts wrote:

    Ref. to #59 by John Antonides. I too am struggling to find the triggers to the sick morning feeling. I take my glaucomo drops Xalatan before sleep so its difficult to beleive they may cause a problem some 12 hours later, but who knows. Maybe we should stop the eye drops for a month and see iff there’s an improvement. It seems there may be a link, with all this discussion on eye drops and low blood pressure. How to get an expert opinion is the question?

    July 5, 2010 at 10:59 pm Permalink

  • 64 Joanne wrote:

    Like many of previous posts my son has had a similar experience. Two years ago at age 21 he went for his annual eye exam and just as we were leaving he collapsed. It was very scary as it looked as if he was having a seizure. He made strange noises and his eyes were open but he was totally unresponsive. It lasted for about 4 minutes. Then today he went to Lasik to be tested for laser surgery but this time it happened while he was in the chair. It lasted about the same length of time but unfortunately this time he lost control of his bowels.
    He was told that he can still go ahead with the surgery but they will probably give him a strong sedative. I would like to know if anyone with this condition has heard of getting laser surgery and it being successful.
    Thanks!

    July 28, 2010 at 3:40 pm Permalink

  • 65 ian roberts wrote:

    Folks, we are all asking questions, but who will give the answers? Whats the point of continued discussion if it is without further progress? Help! Is there a doctor in the house???

    August 4, 2010 at 10:35 pm Permalink

  • 66 Theresa wrote:

    Wow – I’m so glad too that I’m not the only one that has suffered vasovagal syncope while having an eye exam.

    I am a 44-year-old white female in Australia. I have been visiting eye specialists since I was about 7 years old and have worn contacts since I was about 19. I have had numerous types of eye exams in that time, including dilation drops and numbing drops. I have never been nervous, fearful or anxious during these exams.

    However, last week I went to the Eye Clinic at my local hospital after noticing that my vision had deteriorated and I was told I had a detached retina. Dilation drops were put in and soon afterwards the numbing drops. The doctor started poking and prodding my eyeball, which didn’t hurt as it was numb, but it felt uncomfortable and I started to see spots of light and suddenly felt very hot and dizzy and asked the doctor for some water. While he was getting the water I must have passed out because next thing I heard him say, “Theresa, are you with us?” Then I heard over the speaker in the hospital “Code Blue to the Eye Clinic”. Thankfully I fainted while in the examination chair and they tilted it right back and put my legs up. My blood pressure had gone down to 70 and when the ER doctors came in they gave me oxygen and a drip. After getting me stabilised I was sent to the ER for an ECG which was normal and I was given the all clear for surgery that night to repair my detached retina. The doctors confirmed that it was a vasovagal episode and that it was not entirely uncommon for that to happen during an eye exam. I’m just glad they knew exactly what to do and that I was in the right place (at the hospital eye clinic) to get thoroughly checked out!

    At my follow-up appointment 4 days after surgery I was required to get further laser surgery (no anaesthetic) on my damaged retina and I advised the doctor about my earlier vasovagal episode. He did the laser surgery with me lying down and all went well and he is confident that my vision will return in time. A week later I probably have about 50% vision in that eye.

    September 12, 2010 at 4:42 am Permalink

  • 67 kitty wrote:

    Ever wonder whether the vasovagal response is connected to the narcolepsy? I too have narcolepsy without cataplexy and am a proper fainter!! Thanks for this post, it helped me immensely!

    September 29, 2010 at 8:03 am Permalink

  • 68 Marisol wrote:

    The same thing happened to me just about a month ago. I’m so glad that they’re are more people who this has happened to instead of being the only one. My only problem is that since the episode happened, is that I’ve been experiencing really bad anxiety.

    September 29, 2010 at 1:27 pm Permalink

  • 69 Terri wrote:

    I have the convulsive syncope version. Last time it happened to me I was on the table under the knife for a MOHs surgery. It hadn’t happened in seven years, so I forgot! The nurse and the doctor had to hold me on the table – after I came to, they let me rest a bit and continued with the surgery. I now have to get a broken tooth root extracted and a dental implant, and I’m freaked out! My anxiety over the issue is through the roof. I don’t know how I’m going to handle the extraction or implant surgeries. Any ideas?

    October 4, 2010 at 4:15 pm Permalink

  • 70 Deanne wrote:

    I almost fainted with the SAME exact procedure at the eye doctors, and got the same reaction! Nice to know I am not alone. I just almost fainted getting an IV inserted today before my MRI, mammogram, and COUNTLESS other times. I am ok with needles for the most part; or even blood, it really depends on the context. I was looking on the web and I too only found the ‘blood and needles’ versions. UNTIL NOW :)

    November 1, 2010 at 7:11 pm Permalink

  • 71 Al wrote:

    I was at the eye doctor yesterday and very relaxed with my wife and 5 year old daughter, I am 37 yr old, healhty male. Everything went well until the doctor put the numbing eye drops in my eye. I started feeling uncomfortable, nauseous. I was not expecting to feel the way I felt so I was surprrized. Then we started walking to the waiting room and I realized what was happening as I had similar fainting attacks previously but they happened only when I had excruciating pain (i.e. dislocated my shoulder). I sat down and told my wife I was not feeling well and next thing you know, I passed out. My wife told me, I first started snoring and then had involuntary arm movement; almost like a seizure. They layed me on the floor and raised my legs and at the same time medics arrived. I beame conscious within 2 minutes and started feeling well after 10 minutes. My poor daughter freaked out to see me like that, I really think that this is a side effect of the drops as they are supposed constrict your blood vessels to your eye, probably to your brain. too I never had anything like this but I know now that I will never have eyes dilated again. Glad to see I am not alone as my wife thought I am kind of unique!

    November 11, 2010 at 11:58 pm Permalink

  • 72 Ben wrote:

    Wow. What a relief to know i’m not the only one! Just had the pressure glaucoma test today, and within one minute of the numbing stuff and the coloured drops going in i was starting to feel a little weird. The the optomitrist grabbed the eye pokey thingo and she got one quick poke in before I had to call it quits cos I was about to pass out. My blood pressure plummeted and I felt like i was about to throw up. She stopped immediately and I sat forward and caught my breath. Then sat there in a cold sweat for a few minutes, then I was all good.

    It was most unpleasant!

    November 18, 2010 at 1:47 am Permalink

  • 73 Suzanne wrote:

    Thanks for raising awareness of this! Fluorescein eye drops caused me to faint today for the second time, and I was surprised to see no mention of fainting as a side-effect when I tried looking the drops up online. So I was pretty puzzled until I found your article.
    Oddly, the only thing I faint from other than these eye drops is lobster.

    January 27, 2011 at 12:00 am Permalink

  • 74 Matt wrote:

    It sounds like you wrote this article about my life haha. I have experienced the same type of thing both with the blood being drawn and the eye drops at the optomotrist. I am never nervous about getting blood drawn or my eyes numbed, if anything II am only nervous because i know i may pass out for no apparent reason. I have been like this for the past 5 years tops. Recently I began drawing blood myself as I am a laboratory technologist and once I began to do it myself I no longer pass out when I get blood taken. At my last visit to the eye doctor I wanted to try to get the drops again for the glaucoma test since we had been avoiding it because of my condition… sure enough I felt the signs and ended up on the floor to try and prevent it… its comforting to find that im not the only one

    February 3, 2011 at 10:35 am Permalink

  • 75 Anna wrote:

    I love that there are others in the world like me:) I started passing out when I was about 9. I have passed out while visiting other patients and even walking out of the hospital after visiting someone. Its a bit embarrassing when the visitor becomes the patient. I don’t actually go down too often these days as I control it by putting my head below my heart. Needles don’t bother me either its random medical things. Thanks for the post!

    May 5, 2011 at 9:12 am Permalink

  • 76 Melody wrote:

    I am so thankful to have found this site. My dear son was diagnosed 6 years ago with Vasovagal syncope after suffering a severe bullying incident at school (aged 7 years). He has since had episodes which have been brought on by many varied situations. He knocked his elbow at the very sensitive part and an episode then followed of faintness, disorientation and low blood pressure, which required the usual lying down and coming around, another episode was brought on by watching The Passion and at the point where Jesus was nailed to the cross he said; ‘mum, I don’t feel too good’ and then needed to lay down and today I was called from the School telling me that he is in the medical room after having a near faint with sickness and dizziness. I asked him what precipitated this episode and he said he started feeling strange after a history assessment. Blood does produce a faint and so does sad news.

    I feel that this condition is brought about by Stress to the body, whether it is dilating fluid or a blow to the stomache or dehydration. All these triggers are basically STRESSFUL to our bodies and some people have a weaker response to stress than others, my son included.

    I hope that in time the episodes will decrease.

    Many thanks for the post.

    May 5, 2011 at 12:03 pm Permalink

  • 77 Rebecca wrote:

    I got back from the eye doctor about an hour ago. The doctor administered the drops to check for the Glaucoma and I immediately felt light headed and my heart was pounding like crazy. I did not pass out but if I wouldn’t have sat down I would have. (I boldted from the eye exam room, it freaked me out). The doctor did not have a chance to run the pressure test because I left the room about 30 seconds after he administered the drops. For me it was caused from those drops. I immediately called my docctor to make sure that this sort of thing was not unheard of and they said that it can happen. Thank you for the feedback on this website, it helped me understand what had happened to me.

    May 6, 2011 at 11:16 am Permalink

  • 78 Shiloh Peavey wrote:

    I’m impressed, I must say. Really rarely do I encounter a blog that’s both educative and entertaining, and let me tell you, you have hit the nail on the head. Your idea is outstanding; the issue is something that not enough people are speaking intelligently about. I am very happy that I stumbled across this in my search for something relating to this.

    June 20, 2011 at 6:26 pm Permalink

  • 79 Danny wrote:

    Wow. Great to hear I’m not alone. The last time I went to the eye doctor, they tested for Glaucoma, just like with you. After they administered the drops however, my blood pressure dropped almost immediately to unsafe levels. They had to call an ambulance. Once I thought I was fine, I went to stand up and nearly passed out again. I have also passed out when having blood drawn. At first, I thought it was due to fear, but from an evolutionary perspective, that would make no sense. In moments of fear, passing out would lead almost always to death (at least historically). The weird thing is, it doesn’t always happen when I get blood drawn. Once I told the nurse that I might pass out because it tends to happen a lot. She said, “no you won’t as long as you keep breathing.” I ignored the comment she made, but turns out I was fine the whole day. However, don’t see why my blood pressure would drop…. Anyway, thanks for the post. The article was very comforting also.

    June 21, 2011 at 6:05 pm Permalink

  • 80 Brian wrote:

    Like many others on here, this also just happened to me today at the eye doctors immediately after dilation drops. I did not pass out, but I got extremely queasy, sweaty, lightheaded, and nauseous. I certainly felt like I could have been on the brink of passing out, but I managed to keep it together.

    This previously happened 2 appointments ago after receiving the numbing drops for the pressure glaucoma test.

    I wonder–how do the rest of you feel about having your blood pressure measured? I get queasy, but I can handle it when done once. When I had to get my wisdom teeth pulled, though, they set this machine to take my blood pressure every 3 minutes or so. Each time it pumped up the cuff I felt more queasy until I came close to passing out.

    June 24, 2011 at 11:52 pm Permalink

  • 81 Traci wrote:

    I’ve had the vasovagal response to the dilation drops before, but today was the first time I’d had that response to the numbing drops for the glaucoma test test (I’d had it done a year ago without any trouble). My optometrist wondered if maybe it was because I hadn’t eaten yet or something. Didn’t completely pass out, but had all the other stuff, including tingling in my hands/forearms for a while afterwards. Still feel week and shakey (for about an hour now). I don’t have this reaction to anything else, including needels.

    October 14, 2011 at 1:57 pm Permalink

  • 82 Matt wrote:

    Had the same thing happen to me at the opthamologist today. Luckily I can really feel things coming on (start to feel really warm, sweaty, and nauseous) so I can find a place to lie down before anything really bad happens (although it takes me about 10 minutes to feel well enough to stand up again).

    For me, it didn’t seem to hit until a few minutes after the drops were put in. And strangely, I have had the yellow glaucoma drops before with no problems. Before the glaucoma drops, I had ‘eye pressure’ drops and not sure if I’ve ever had those before.

    I have the same delayed reaction when getting needles. I can have the shot and be halfway out of the doctor’s office before it hits me.

    I also get the same symptoms reading about medical procedures, seeing blood, visiting people in the hospital, etc., but to a milder extent.

    It was fascinating reading the blog owner’s original post as we seem to have had very similar experiences.

    October 18, 2011 at 2:01 am Permalink

  • 83 Kristin Guelli wrote:

    Thank you everyone for posting. Just yesterday experienced this with my 14-year old daughter at her eye appointment. She has been wearing contacts for about 3 years now. Has to have yearly check ups to get contact renewal. She reacted to the pressure test drops and had total episode including fainting and seizure which lasted about 30 seconds. This has happened a handful of times in the past but always associated with blood or IV insertion. She has never had any issues at the dentist but she’s also never had novocaine. She has never had an episode without a “trigger” of some kind. Very helpful information!

    October 29, 2011 at 9:53 am Permalink

  • 84 Jackie wrote:

    Thank you for this post! I’m the same way! I don’t dread giving blood, I don’t hate needles, I’m not grossed out by blood, I’m not squeamish! I just get light headed when any of those things happen to me! It’s ridiculous! Or at least I feel ridiculous. Especially when I tell people “no really, I’m not afraid of needles, I just get light headed and pass out,” because then they look at sideways and say “mmmm-hmmm” like they don’t believe me. Anyways, glad to know that there are other people out there with the same response… or should I say exaggerated “vasovagel syncope.” :-)

    November 1, 2011 at 5:57 pm Permalink

  • 85 Sarah wrote:

    Really happy to see all these stories and posts. I took my boyfriend to get his eyes examined today and they put in the three drops and soon he started saying he felt lightheaded – instantly lost consciousness and started to lightly seizure. It almost happened a second time and all the doctors gathered around giving him water and some food, he seems okay now, but the incident really freaked us out. Its extremely comforting to know he will be okay.

    November 11, 2011 at 8:32 pm Permalink

  • 86 don woods wrote:

    I have the exact same problem. Started at an eye exam when I was about 19 or so. Happens at the dentist, and doctor if I get a shot or blood drawn. If I lay flat I normally do ok. But its so bad I can even get the feeling at times in meetings at work, so not sure if that’s a panic attack that has come from the vaso-vagal or not. Either way, scary and I stay away from doctors and dentists because of it. That in itself is dangerous, as I don’t seek treatment now unless I absolutely must do to extreme pain.

    November 26, 2011 at 11:49 pm Permalink

  • 87 Jason wrote:

    I just experienced something similar. I have the vasovagal response to any kind of IV, and so I’m used to this sort of thing. Had numbing drops this morning and came very close to fainting. Always a bad experience of course, but I’m assuming I will be a poor candidate for LASIK as a result.

    January 17, 2012 at 12:36 pm Permalink

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  • 89 Chris wrote:

    I was about to dive deeper in to some background research.

    Vasovagal syncope was on the list.

    Your description of events and the often independent events is exactly as I have experienced.

    May 11, 2012 at 3:49 pm Permalink

  • 90 Adrian wrote:

    Just another data point in this. I’ve always gotten a little light-headed and dizzy when getting eye drops at the doctor and always thought it was normal from the numbing. But today was the first time that I actually passed out from it for a few seconds. Unfortunately, I hit my head on an equipment cart on my way down, so I have a lovely gash on my head now.

    It’s interesting to see so many people in this thread who suffer from this condition. Eye drops are the only thing I get like this about. I’m fine with needles, shots, and all that other stuff.

    I’m a healthy, active and fit 37 year old male, so it’s proof that fainting can happen to anyone, not just the squeamish.

    May 16, 2012 at 6:43 pm Permalink

  • 91 Stephanie wrote:

    I’ve been going for regular eye examinations for about 30 years now. So the eyedrops are nothing new to me. I’ve also been wearing contacts for 20 years, so I’m used to putting things in my eyes. But out of nowhere, this started happening to me 5 years ago. I thought the first time was a fluke and didn’t think anything about it. But the next year when the doctor administered the drops before the pressure test, it happened again. I didn’t actually faint, but I felt pretty close to it and couldn’t walk for half an hour. I have since been to 3 different optometrists, and of course, none of them believe me when I mention that this happens, so I’ve been subjected to it several more times. I was starting to think it was perhaps psychosomatic when the doc this time hypothesized that I might be allergic to the anesthetic and so ONLY used the dye. Yet, it still happened. Nothing else causes this. The dialation drops don’t give me any problem still. I’m glad to hear it’s not just me, or that I’m imagining it.

    August 1, 2012 at 4:30 pm Permalink

  • 92 Emily wrote:

    Hi im Emily, I have this condition. I just want the world to know having this condition is extremely painful. I struggle with the symptoms everyday. I tried medication, after medication. Soon enough my liver started to fail. I had tried 7 medications, and had reactions such as rashes, fainting, and migraines. I struggle with my condition everyday, I can never fall asleep or get a good night sleep, I get migraines every night, they wake me up. if anyone has some insight of things I can do to help me, that would be awesome. I haven’t fainted in a year, but lately I haven’t been feeling good. Im struggling not to have an episode.

    September 17, 2012 at 1:58 am Permalink

  • 93 Emily wrote:

    I don’t have a main trigger, anything can set it off. I have fainted from getting up, low fluids, and more reasons I can think of. I faint from pain also.

    September 17, 2012 at 2:02 am Permalink

  • 94 Gareth wrote:

    Hi. Well I went for my first eye exam today (35). I knew nothing about this but I had dilation drops (tropicamide). All was well. After the drops (about 30min) I left and got in my car to drive home (was told I would be fine). I drove 1 block, felt very lightheaded so I pulled over and passed out! When I came around I was very disoriented and had to wait 2-3hrs before getting home. This is the first time anything like this has happened! Nice to know I am not alone!

    September 18, 2012 at 6:48 pm Permalink

  • 95 Krissy wrote:

    For anyone who suffers from strange unexplained fainting, feel like they are going to faint, feel funny after position changes (from lying to sitting, sitting to standing, even standing in one place for a long period of time like the lines at the grocery store or an amusement park). Or those of you who mentioned low blood pressure, chest pain, even if you have strange allergies, stomach issues. any unexplained symptomes. PLEASE PLEASE look up DYSAUTONOMIA, POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME, or NEUROCARDIOGENIC SYNCOPE. I have all of these conditions & pass out every day of my life. I had never had an eye appointment in my life & recently just had one & passed out from the eye drops & dilation. Doing this is very common with these conditions. I just googled to do some more research & stumbled upon this page & I am so glad I did because I feel that many of you may suffer from these conditions. To answer why vasovagal syncope sometimes & very rarely occurs with these drops has to actually do with the neurotransmitter Acetylcholine (ACH) in the Autonomic Nervous System. The stuff in those drops that are used for many eye procedures block ACH, to allow the pupil to dilate. If you have issues, this will cause your Autonomic Nervous System to basically flip out. Your ANS controls things like heart rate, blood pressure, breathing, body temp. So your body will try to basically fight the drop, your ANS goes haywire, & you will experience high heart rate, trouble breathing, drop in or increase in blood pressure etc. which could result in fainting. Hope this helps.

    October 31, 2012 at 2:55 pm Permalink

  • 96 Belinda wrote:

    I’m a 61 year old female who is obese. I also have had a history of almost fainting and actually fainting at the doctors office when blood was drawn. It doesn’t happen everytime though.
    I had a retinal tear in my right eye a couple months ago which was corrected at the doctor’s office with a laser. I was able to walk out without a problem.
    This week I went back for a check up. The doctor was just going to look at it. The nurse put in the dilation drops and numbing drops to check the pressure. Then she left. I started feeling nauceous and clammy after a minute and knew I was fainting. I immediately told the nurse I needed to lie down. I actually fainted.
    I felt awful until I threw up in the parking lot and was able to drive home where I slept the rest of the day. Very disconcerting and I thank you for posting so I know this happens with other people. How can doctors NOT know about this. The nurse who was checking my blood pressure after I came to said something about vaso…..so I assume its this response. Thank you for all the posts. Those low blood pressure readings scared me.

    November 9, 2012 at 12:41 pm Permalink

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  • 98 Lori Whitley wrote:

    My 17 year old son passed out right after he received the dilation drops, He slumped over and wasn’t responding. I ask him was he alright. The Dr. laid the chair back and got the smelling salts, after about 10 minutes he was ok. But, I also wanted to research and make sure this was common, like the Dr. explained the dilation drops can have this effect if the drops get into the tear ducts. Scared me, But I’m ok now :) after reading all these post.

    February 11, 2013 at 9:07 pm Permalink

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  • 102 Joe wrote:

    The fiirst time this ever happened to me was during a tuberculin tine test. I was sitting on the stool, the tech stuck the thing into my arm, and like 30 seconds later, I thought he had drugged me… nauseous, dizzy, sweaty, and boom, down on the floor. I had no idea what happened, why it happened, or what to do about it. That was over 30 years ago. It’s happpened to me probably half a dozen times since then, and the ONLY thing that seems to prevent it from happening is if I am in a prone supine position, which is fine when I need to give blood… but trying to explain that to an eye doctor…. well… their chairs don’t recline! But it’s nice to know that I am not alone out here…I just WISH there was a way to convince my body to know what my mind knows…. I feel like such a big wuss when it happens… but when it happens… I actually don’t give a sh*t who thinks what about me, because I feel like total crap for several hours afterwards.

    April 17, 2013 at 7:47 pm Permalink

  • 103 Joe wrote:

    Actually, I forgot… the first time this happened, I think I was 12 or so years old… I was getting those scratch tests at the allergy doctor. I’m sitting there atthe desk, with my arms held out in front of me, with all of the sticky goo dabbed onto the little impressions that they make on your arms. Next thing I know, I’m UNDER the desk, no idea where I was, what happened, etc… so yeah, this has been happening like my whole life…. damn.

    April 17, 2013 at 7:50 pm Permalink

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  • 106 Jeff wrote:

    I knew I’ve had issues with fainting before, since I was very young. But it was always needles (usually drawing blood) that did it. And like you said, it was only after the needle was inserted that the fainting happened. Only today did I find another stimulus causing me to faint (I haven’t fainted for years prior to this): the numbing eye drops. So, it seems to fit exactly with what you’re saying here. The two seemed very unrelated to me. (I thought I just had low blood pressure or something.) Thanks for sharing.

    July 1, 2013 at 12:07 pm Permalink

  • 107 lynn wrote:

    I have had vasovagal response after eating things that give me diarrhea and also after taking hydocodone. I had the tilt table test and once they placed the nitro pill under my tongue I went out. Now I’m having knee surgery and am so afraid of the anesthesia – what ever will happen to me once I have the anesthesia – will I ever come out of it?:??

    July 6, 2013 at 10:41 pm Permalink

  • 108 Joanne wrote:

    I have fainted several times just from going to the doctor. If I am lying down when I feel this way, I am fine. The times I did faint, I woke up quickly and was ok–that was until I went to the eye doctor a few years ago. The nurse put eye numbing drops in my eyes (without telling me) and then came at me with some sort of instrument. Well, that was it. I told her I needed to lie down–and then I passed out cold. I woke up and they were calling 911. Not only did I faint, but I could barely talk, was completely out of it and very weak.They jerked the chair to put me in a horizontal position (way too late for this) and then I started vomitting. I was later told it was vasovagal syncope. The paramedics came and my heart rate was very low (bradycardia) and he gave me some shot. I vomitted all the way to the hospitall and in the ER until they gave me anit-naseau meds. All from eye drops. So I know exactly what you all are talking about. I have to have some dental work done and I am afraid that the same thing could possibly happen. Not sure what I am going to do.

    July 17, 2013 at 1:14 pm Permalink

  • 109 Joanne wrote:

    Oh, and by the way, the ER doctor said he has seen this happen before with eye drops.

    July 17, 2013 at 2:13 pm Permalink

  • 110 Tiffany wrote:

    I have a similar problem. I have nearly passed out with needles (which I am not afraid of), getting the yellow drops in my eyes at the eye doctor, and a few other times that I can think of. It’s certainly inconvenient…

    July 30, 2013 at 1:25 pm Permalink

  • 111 Christina wrote:

    I have fainted when blood is taken or even after a small shot, most recently a TB test. Same thing happened in my eye appointment a few days ago. My doctor called it an “involuntary response.” Does this mean I won’t be able to wear contact lenses because of the effects of the invasive response?

    August 16, 2013 at 3:53 am Permalink

  • 112 Michelle wrote:

    I know this article was written years ago Lynn, but I only just now found it searching for “touching eye” syncope. I have the same exact pattern of fainting as you and have been that way since I was very, very young (almost all times have been in the presence of other people so they can tell me what happened). In addition to your triggers I have fainted in very crowded spaces (like a panic attack type response). But yeah, it never fails – drops for the glaucoma test and less than 1 minute later I’m out cold. Same with needles and blood – though fortunately, after over 25 years I’ve learned to recognize it coming and know when I have to lay down. Oh, and unlike some of the commenters here, I can put drops in my own eyes without fainting and can directly touch my own eyes without fainting too. Thanks for sharing your experience.

    September 23, 2013 at 8:01 pm Permalink

  • 113 Richard wrote:

    I’ve had the same experience more than once. (I’m a 58-year-old male.) I have also had vasovagal reactions when having my blood drawn. In the case of eye drops, I think it’s important to point out–as many contributors here have–that the drops that are likely to provoke a vasovagal response are anesthetic drops such as fluorescein or proparacaine and not drops used to dilate pupils such as neosynephrine. Don’t believe health care practitioners who claim that a vasovagal reaction to eye drops is very rare. My ophthamologist at University of Pennsylvania says he sees it about once a month.
    This is a reassuring and informative blog. It deserves a wide audience.

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  • 117 Madison wrote:

    I had a response like this today at the optometrist after they put the fluorescein in my eyes. They started examining my eyes and I fainted. My doctor said that was the third time that something like that has happened for her alone, so she told me to go home and look it up and find out more about it so I won’t be super freaked out if it ever happens again.

    December 23, 2013 at 10:22 pm Permalink

  • 118 Tim wrote:

    Same thing here. I got the yellow drops and literally in like 15 seconds I knew something was wrong. I told the doctor I was dizzy and needed to sit back. That’s all I remember. I was out for about a minute. My hearing came back first as I heard the doctor calling for the tech to come in the room and help her. When I fully woke up I was covered in sweat, literally dripping off me. I felt like I had a bad case of motion sickness the whole rest of the day. Horrible.

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  • 121 Laura wrote:

    Both my brother and I have syncope reactions at the eye doctor. I had thought it was dilation or the florescein, but today, I had just numbing drops for the pressure test and sure enough, I felt the signs of fainting coming on. I was able to breathe through it. I an not anxious at the eye doctor or with medical procedures generally, but aside from the eye doctor, the only other times I have fainted are when I had a body piercing (duh) and when I opted to donate blood with an apheresis machine instead of the usual way. I think it was the plasma coming back into my body that triggered the syncope reaction.

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  • 122 Ruth wrote:

    This fainting and fit happened to my son this morning after a first try of contact lenses in the UK. He’s 28 and nothing like it has ever happened before. But I’ve had to find out here that’s it’s not unusual and he’s not started with epilepsy!

    August 24, 2014 at 1:29 pm Permalink

  • 123 Tammy wrote:

    Thanks for posting this. It happened to me for the first time at the optometrist after getting the drops. I’ve only ever had it before from blood draws, so I’m comforted to know that other people have it too!

    September 2, 2014 at 1:43 pm Permalink

  • 124 Amy wrote:

    I had this for the first time about five years ago. I was not at all nervous, just a standard eye exam. She put the drops in to dilate…all of a sudden, my heart was pounding, I felt super anxious and was having difficulty catching my breath. With great embarrassment, I told my optometrist that I felt like I was going to faint. I laid down immediately. She explained to me that this does happen in a small percentage of patients and that I should not have my eyes dilated again. She now uses some ginormous machine instead, and it costs an extra $25 or so for this, but it’s well worth it knowing I won’t have this crazy reaction!!! scary stuff….

    January 30, 2015 at 10:36 am Permalink

  • 125 Kristin wrote:

    I have had a very similar experience. I went to the eye doctor about a year ago, and they used adult dilation drops for the first time. I got the numbing drops in, then the dilation drops. The uncomfortable sticky gummy sensation that the numbing drops caused started to make me feel strange. I was dizzy and everything looked weird. My heart felt like it was going faster, and I tried to tell my mom what was going on. For some reason I couldn’t find the right word to use, and by the time my mom realized what was happening, I had almost fainted. All sound was distorted and my head fell back against the eye doctor’s patient chair thing. My mom tried to lean the chair back, but didn’t know how, so she ran out of the room. She came back with the doctor, then made me drink warm apple juice. Everyone was convinced that it was the adult drops that caused the vasovagal syncope, but I’m fairly sure that it was the horrible feeling in my eyes from the numbing drops. The eye doctor won’t use the drops anymore, and she said it wouldn’t be a problem because my pupils are naturally big.

    February 10, 2015 at 8:30 pm Permalink

  • 126 Hannah wrote:

    I have the same issue and DID faint/seize at the eye doctor from the same drops this weekend. Mine said I was the third person this week! I think it is common. Also, I can’t prevent mine by laying down. The last time I had to have blood drawn I was laying down and had a seizure without passing out. I am looking for more information on how this can get under control or if I am just going to have to deal with it my whole life. I am very afraid of needles for blood draws (finger pricks are okay, thought), but was having no anxiety whatsoever about the eye drops. Now I fear when the next episode could occur.

    March 2, 2015 at 10:44 am Permalink

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  • 132 Dana wrote:

    I had a syncopal episode today. I had an appt to get the laser procedure done to my left eye. I had the procedure done to my right eye about a month ago. I didn’t have any anxiety what so ever with the right eye, but today didn’t go so well. I was feeling reluctant because upon checking in, I was informed that the laser technician was having car trouble and would be in 2 hrs late. I came back a few hours later, was escorted right into room. The procedure felt different this time. Drops were placed into my left eye. Once my head and chin were securely placed on the strap, the doc looked in my eye with the gel and scope. Next, the laser felt more severe this time and he had to stop the procedure because the presence of blood. After done the technician wanted to rinse my eye right before I felt faint. I remember saying. I’m going done. Next thing you know. I woke up in tears, feeling scared and alone. There was no smelling salt in the room , and no mention of the fact that this was a possibility. Not a happy camper. I reconnected with my dad after 23 years. I went to San Fran to visit him a 2 months ago. While there I took him to his eye appt. I overheard the dr talk to him about high pressure and laser procedure. He looked so frightened. I asked the dr if it was hereditary. He took a look at my eye and instructed me to make an appt once I got home. I’m reluctant to tell my dad what happened today because he has a phobia of needles and doctors. He wants to be put to sleep for the procedure. Now that it’s over. I never want my eyes to be touched again. Tired of being the brave one. I have a follow up appt tomorrow. We’ll see!

    May 28, 2015 at 7:21 pm Permalink

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  • 138 Julia Hughes wrote:

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  • 143 Cheryl Dunn wrote:

    I am also plaged with passing out for no apparent reason. First time was after a penicillin shot and ended up laying down in the vestibule at our local ckinic. Being a very self-conscious pre teen had no bearing on keeping me from embarrassing myself in front of everyone. My episodes generally occur when I am aware something is wrong with me, usually something internal that isn’t visually apparent. My latest occurrence was two weeks ago when I started experiencing symptoms of a retinal detachment. Sure enough at the eye doctor’s office, I started the deep yawning and hot flash sweating. I’m sure to the casual observer, I appear to be a bored menopausal woman. I held on to the exam apparatus until I finally felt on the brink if meeting the floor. The doctor brought me a fan, cup of water and wet towel. This happened three times during my exam and diagnosis. It wasn’t the procedure or drops thcaused it but hearing that something inside my body was broken. I was immediately sent to a specialist for imminent surgery, where, you guessed it, I proceeded to faint again. My husband is equally embarrassed by my lack of blood pressure control as well. He’s witnessed several times after procedures and surgeries, his wife face-plant on very cold floors. This ridiculous affliction has even gone on to rear it’s head when the trauma isn’t directly related to me. Years ago, at my son’s wrestling match, a boy broke his arm on the other side of the gym. There was no screaming and I never saw the poor kid, but I fainted dead away minutes later. I did try to remove myself as I felt the tale tale signs creep up. Imagine how horrible I felt when ambulance number one had to treat me while a second was called for the injured child!! I am so relieved to hear that I’m not the only person going through this, and at least I know it’s not in my head or because I’m weak willed!!

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  • 148 Lauren wrote:

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