| Topical anesthetic abuse keratitis secondary to floppy eyelid syndrome. | |
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MedLine Citation:
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PMID: 20847677 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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PURPOSE: To report the diagnosis and management of a patient with chronic ophthalmic topical anesthetic abuse and floppy eyelid syndrome. METHODS: We describe the case of a 47-year-old man suffering from persistent bilateral ocular irritation and chronic corneal erosions. RESULTS: The patient was hospitalized in our ophthalmology department and underwent thorough ophthalmic, systemic, and psychiatric evaluation. Chronic topical anesthetic abuse was discovered. Removal of abused drops and copious lubricating treatment lead to partial improvement further permitting diagnosis of floppy eyelid syndrome. Definitive surgical treatment by horizontal eyelid tightening combined with continuous lubrication resulted in remission of symptoms. CONCLUSIONS: Uncommon conditions may coexist in 1 patient. In this case, floppy eyelid syndrome resulted in topical anesthetic abuse. Ophthalmologists should keep both these conditions in mind when treating patients with otherwise unexplained chronic persistent corneal erosions. |
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Authors:
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Yakov Goldich; David Zadok; Isaac Avni; Morris Hartstein |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Cornea Volume: 30 ISSN: 1536-4798 ISO Abbreviation: Cornea Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-08 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8216186 Medline TA: Cornea Country: United States |
Other Details:
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Languages: eng Pagination: 105-6 Citation Subset: IM |
Affiliation:
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Department of Ophthalmology, Assaf Harofeh Medical Center, Tel-Aviv University, Tel-Aviv, Israel. doctor.goldich@gmail.com |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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