I have xylocaine (lidocaine) allergy what should be used for eye local anesthesia?

Alternative: If are allergic to xylocaine, (lidocaine) most likely you are allergic to all ' caine' agents like benzecaine, procaine , tetracaine etc have to use non 'caine ' anaeathetic like diphenohydraine ( dph ) some times allergy is not due to medication itself the preservatives used like methylparaben etc.

If you have : A true Lidocaine allergy and NT an allergy to the preservative it is in, then, instead of an amide local anesthetic, try an ester local anesthetic like tetracaine. It comes in drops and is commonly used as a local anesthetic for topical eye anesthesia.

Lidocaine: Is it a true allergy or just a sensitivity? If a true allergy then u would need to avoid amide class if local anesthetic. Need something from ester class if they use it in eye surgery. If not then i guess it will be general anesthesia.

Talk to MD: There are other topical anesthetic agents that are not in the same class as xylocaine (lidocaine). Talk with your opthamologist to discuss treatment options.