1978
DOI: 10.1136/bjo.62.1.62
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Keratitis from abuse of corneal anaesthetics.

Abstract: and Essen SUMMARY Topically applied anaesthetics are potentially dangerous, as frequent and continuous application may lead to anaesthetic-induced keratitis. Three patients with serious corneal lesions are described.

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Cited by 42 publications
(19 citation statements)
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“…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.…”
Section: Discussionmentioning
confidence: 99%
“…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.…”
Section: Discussionmentioning
confidence: 99%
“…DR consists of a microangiopathy that induces pathological changes of the vascular structures and the blood rheological properties as a consequence of chronic hyperglycemia. 6668 Recently, DR has been postulated to be a multifactorial disease involving the retinal neuronal cells. 6973 The neurodegenerative change consists of apoptosis of several populations, including photoreceptors, bipolar and ganglion cells.…”
Section: Clinical Applications Of Ao Retinal Imagingmentioning
confidence: 99%
“…Three similar cases were reported in Holland by Henkes and Waubke (1978), these patients having developed a physical dependence on the drops because of the intense pain in the insensitive cornea. The local anaesthetics in these cases were supplied by an ophthalmologist.…”
Section: Adverse Reactions To Local Anaestheticsmentioning
confidence: 59%