Phenylephrine ophthalmic is basically used to relieve eye redness, dryness, burning, and irritation caused by wind, sun, and other irritants. It does so by constricting blood vessels in the eye and dilating (that is, making bigger) the pupil for conditions such as glaucoma, before surgery, and before eye examinations. You should not use phenylephrine ophthalmic if you are allergic to it, or if you have narrow-angle glaucoma. Besides, you must not use this medicine without a doctor's advice if you have an eye infection, an eye injury, or if you have recently had eye surgery. For one, any of the conditions above could cause your eyes to absorb phenylephrine ophthalmic into your body, which could lead to dangerous effects on the heart. It is still not known whether this medicine will harm an unborn baby. So, make sure you tell your doctor if you are pregnant or if you plan to become pregnant while using this medicine. It is also worth noting that whether phenylephrine ophthalmic passes into breast milk or not, is yet to be determined. Therefore, you must also consult your doctor if you are breastfeeding. As for the side effects of this medicine, they include fast or irregular heart rate, sweating, tremors, pale skin, light-headed feeling, severe headache, buzzing in the ears, anxiety, and shortness of breath. Remember to stop using Phenylephrine ophthalmic and call your doctor at once if you have any of the aforementioned side effects.