Topical anaesthetic in the treatment of corneal epithelial defects: What are the risks?

Fraser, Rogan; Walland, Mark J; Chan, Elsie; Crock, Carmel

doi:10.31128/ajgp-09-18-4709

Cited by 7 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ice or cold pack can be the alternative option for analgesia. [9] Eye patching for corneal abrasion can alleviate some degree of pain, even though some studies show no significant difference between patching and non-patching groups. [10] A B The cornea is the outer anterior casing of the eye and protects the inner portion from the external environment.…”

Section: Discussionmentioning

confidence: 99%

Good Visual Acuity Outcome from an Ocular Blast Injury with Proper Management in Dr. Soetomo General Hospital Surabaya, Indonesia

Nurfahri

Lutfi

Zuhria

2021

VSEHJ

View full text Add to dashboard Cite

Introduction: Ocular blast injury related to fireworks most often causing corneal erosion (29%), conjunctival erosion (11%), and conjunctival foreign body (10%) with children are more often than adults (65.9%:34.1%), and males far more often than female (71.9%:28.1%). Knowing proper management is very important to achieve the best result. Case presentation: We describe an ocular blast injury that experienced broad erosion and multiple foreign bodies on the corneal and pericorneal surface in the left eye and visual acuity decreased. The foreign body was scattered, and the fluorescein test was positive. We did proper foreign body extraction, irrigation, and ocular bandage. It was treated with chloramphenicol 0.5% eye ointment and homatropine eye drop. In two months, the patient’s left eye had clear cornea with a small scar formation near the visual axis. The visual acuity was 6/7 and BCVA was 6/6 with S-0.5 C-0.5 A 50° correction. Conclusions: Patients with ocular blast injury limited to superficial cornea erosion and and conjunctival erosion have a reasonable probability of achieving the best visual acuity. Foreign body extraction, proper irrigation, and topical medication show promising results. Scar formation near the visual axis can disrupt visual acuity however can be corrected in this case it can be corrected with glasses. Furthermore, public promotion and regulation to control firework using are very important.

show abstract

Section: Discussionmentioning

confidence: 99%

Good Visual Acuity Outcome from an Ocular Blast Injury with Proper Management in Dr. Soetomo General Hospital Surabaya, Indonesia

Nurfahri

Lutfi

Zuhria

2021

VSEHJ

View full text Add to dashboard Cite

show abstract

“…One systematic review found that brief use of topical anesthetics does not impair corneal healing if used for 24 hours or less (Puls et al, 2015). However, another review cited this practice is not without risks because use may mask a worsening condition that could lead to possible permanent visual impairment (Fraser et al, 2019). Use of prophylactic topical antibiotics is also controversial for management of corneal/scleral abrasions.…”

Section: Selected Eye Emergenciesmentioning

confidence: 99%

Ophthalmologic Emergencies

Evans,

Hoyt

2023

Advanced Emergency Nursing Journal

View full text Add to dashboard Cite

There are an estimated 2–3 million emergency department (ED) visits in the United States for eye complaints. Although most patients who present to the ED have nontraumatic eye complaints, many seek treatment for eye trauma, which is a leading cause of unilateral blindness and vison impairment. Given the prevalence of eye-related emergencies, it is imperative that emergency care providers understand how to recognize and treat eye complaints to prevent permanent vision loss and disability. This article covers basic eye anatomy and physiology, discusses a systematic approach to the eye examination, and presents the evidence-based treatment of selected, common nonemergent and emergent eye complaints. For each complaint, essential history questions, examination techniques, differentials, and emergency management have been presented.

show abstract

“…Local anesthetic drops should never be given to the patient on discharge due to toxic effects that delay corneal healing and the potential to mask worsening pathology. [5] Encourage cool eyelid compresses and oral analgesia on discharge. An optometrist follow-up should be considered where accessible.…”

mentioning

confidence: 99%

Corneal foreign body and rust ring removal in a remote setting: further tips and tricks when support is afar

Wilson¹,

Mathan²

2022

Emerg Crit Care Med

View full text Add to dashboard Cite

Topical anaesthetic in the treatment of corneal epithelial defects: What are the risks?

Cited by 7 publications

References 13 publications

Good Visual Acuity Outcome from an Ocular Blast Injury with Proper Management in Dr. Soetomo General Hospital Surabaya, Indonesia

Good Visual Acuity Outcome from an Ocular Blast Injury with Proper Management in Dr. Soetomo General Hospital Surabaya, Indonesia

Ophthalmologic Emergencies

Corneal foreign body and rust ring removal in a remote setting: further tips and tricks when support is afar

Contact Info

Product

Resources

About