“…Tetrahydrozoline hydrochloride (THZ) or 2‐[(1RS)‐1, 2, 3, 4‐tetrahydronaphthalen‐1‐yl]‐4,5‐dihydro‐1H‐imidazole is an adrenoceptor agonist‐decongestant, used for reducing the symptoms of allergic conjunctivitis (Mohamed, Rizk, Yousry, & Frag, 2015). THZ is a sympathomimetic agent with alpha adrenergic activity and its main mechanism of action is the constriction of conjunctional blood vessels and also it acts as a local vasoconstrictor so THZ serves to reduce the redness of the eye caused by minor ocular irritants (Gumustas et al, 2016; Shadoul, Kariem, Ibrahim, & Adam, 2016). Tetrahydrolozine may cause ocular burning, stinging, dryness, headache, insomnia, dizziness, tremors, palpitations, rebound erythema, and congestion (Cordes, 2007).…”