“…Topical anesthetic abuse has been reported to cause mild to severe corneal disorders, [3][4][5][6][7][8] including superficial punctate keratopathy, persistent epithelial defect, Wessely immune ring-like or disciform stromal infiltration, stromal edema, Descemet membrane folding, and endothelial cell loss. More devastating side effects, such as neurotrophic ulcer, secondary infectious keratitis, corneal perforation, and subsequent permanent visual loss may also develop.…”