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Information Journal Paper

Title

NEUROTROPHIC CORNEAL ULCER AFTER TOPICAL TETRACAINE ABUSE: MANAGEMENT GUIDELINES

Pages

  55-57

Abstract

 Dear Editor, Indeed, TOPICAL ocular anesthesia has been part of modern ophthalmology for more than a century. All forms of anesthetics can be toxic, particularly when ABUSEd.1 In Iran, the most common TOPICAL anesthetic is TETRACAINE. Most of the patients ABUSE it after UV keratitis or foreign body removal. The ocular surface and cornea are the most common sites of such toxicity.Systemic side effects are rare.Unfortunately, it is growing as a health problem nowadays. Primary prevention is recommended by education of the workers to avoid abusing it. Here we report a oneeyed, 48-year-old man referred to us with an eye disorder from a few days ago following corneal foreign body removal. Corneal epithelial defect, ring infiltration, stromal edema, and descemets folds were observed at slit lamp examination (Figure 1-A).In the history, he mentioned TOPICAL TETRACAINE use. He was asked to discontinue taking it. Ocular surface culture was performed but the result was negative.Topical autologus serum and oral steroid were administered.After one week, the size of epithelial defect was decreased (Figure 1-B) at the third week, there was no significant change in epithelial defect size (Figure 1-C). Lateral tarsorrhaphy was carried out (Figure 1-D).One week later, the corneal epithelial defect was totally healed. After 2 months, the tarsorrhaphy was opened and the patient had clear cornea with no epithelial defect or infiltration (Figure 1-E). Two years later, the patient returned with the same primary clinical feature (Figure 1-F).

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  • Cite

    APA: Copy

    SEDAGHAT, M.R., SAGHEB HOSSEINPOOR, S., & ABRISHAMI, M.. (2011). NEUROTROPHIC CORNEAL ULCER AFTER TOPICAL TETRACAINE ABUSE: MANAGEMENT GUIDELINES. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), 13(1), 55-57. SID. https://sid.ir/paper/292318/en

    Vancouver: Copy

    SEDAGHAT M.R., SAGHEB HOSSEINPOOR S., ABRISHAMI M.. NEUROTROPHIC CORNEAL ULCER AFTER TOPICAL TETRACAINE ABUSE: MANAGEMENT GUIDELINES. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)[Internet]. 2011;13(1):55-57. Available from: https://sid.ir/paper/292318/en

    IEEE: Copy

    M.R. SEDAGHAT, S. SAGHEB HOSSEINPOOR, and M. ABRISHAMI, “NEUROTROPHIC CORNEAL ULCER AFTER TOPICAL TETRACAINE ABUSE: MANAGEMENT GUIDELINES,” IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), vol. 13, no. 1, pp. 55–57, 2011, [Online]. Available: https://sid.ir/paper/292318/en

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