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Title

PERSISTENT CORNEAL EPITHELIAL DEFECT AS A COMPLICATION OF TETRACAINE ABUSE

Pages

  289-293

Abstract

 Purpose: To describe the clinical signs, diagnosis and treatment of TOXIC KERATOPATHY in a patient who abused TETRACAINE drops.Case Report: A 32-year-old man was referred to the emergency ward of our center with persistent corneal epithelial defect associated with a ring infiltrate in the corneal stroma, without any history of ocular trauma or contact lens use. The patient was hospitalized and a thorough ocular examination was accomplished. A detailed history in our patient revealed topical anesthetic abuse keratitis. The topical anesthetic was deliberately taken from the pharmacy without a prescription. The hallmark of topical anesthetic abuse keratitis was a persistent corneal epithelial defect and a complete ring infiltration in the corneal stroma in our case. Functional and anatomic results after appropriate treatment were not favorable in this case.Conclusions: Although topical anesthetic abuse keratitis is rare, it should be carefully explained to patients that although topical anesthetics numb the eye, more than a few drops can actually prevent healing and may lead to permanent damage. The unrestricted availability of topically applied ophthalmic anesthetics as over-the-counter medications in Iran must be reevaluated.

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    APA: Copy

    NOROUZI, H., MOHAMMAD RABEI, H., & BORHANI, M.. (2012). PERSISTENT CORNEAL EPITHELIAL DEFECT AS A COMPLICATION OF TETRACAINE ABUSE. BINA, 17(3 (68)), 289-293. SID. https://sid.ir/paper/42649/en

    Vancouver: Copy

    NOROUZI H., MOHAMMAD RABEI H., BORHANI M.. PERSISTENT CORNEAL EPITHELIAL DEFECT AS A COMPLICATION OF TETRACAINE ABUSE. BINA[Internet]. 2012;17(3 (68)):289-293. Available from: https://sid.ir/paper/42649/en

    IEEE: Copy

    H. NOROUZI, H. MOHAMMAD RABEI, and M. BORHANI, “PERSISTENT CORNEAL EPITHELIAL DEFECT AS A COMPLICATION OF TETRACAINE ABUSE,” BINA, vol. 17, no. 3 (68), pp. 289–293, 2012, [Online]. Available: https://sid.ir/paper/42649/en

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