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[Anesthetic keratitis (author's transl)]

H Pau

    Klinische Monatsblatter Fur Augenheilkunde
    |June 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Abuse of topical local anesthetics can cause severe corneal lesions, including keratitis, erosions, and glaucoma. Ophthalmic use requires physician administration to prevent adverse effects.

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    Area of Science:

    • Ophthalmology
    • Toxicology

    Background:

    • Topical local anesthetics are widely used for ophthalmic procedures.
    • Prolonged or frequent application can lead to ocular surface toxicity.

    Observation:

    • This report details six patients who developed corneal lesions from local anesthetic abuse.
    • Lesions varied based on application duration, frequency, and patient factors.

    Findings:

    • Observed lesions included superficial punctate keratitis, corneal erosions, epithelial and stromal edema, stromal infiltrates, stromal defects, iritis, cataract, and secondary glaucoma.
    • Recurrent epithelial bullae and erosions, vascularization, and leukoma were noted during prolonged healing periods.
    • Commonly used ophthalmic local anesthetics were reviewed.

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    Implications:

    • Ophthalmic local anesthetics should only be administered by qualified physicians.
    • Awareness of potential toxicity is crucial for safe ophthalmic practice.
    • This highlights the importance of judicious use and monitoring of topical anesthetics.