Nonpreserved amniotic membrane transplantation for bilateral toxic keratopathy caused by topical anesthetic abuse: a case reportReportar como inadecuado




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Journal of Medical Case Reports

, 4:262

First Online: 10 August 2010Received: 21 October 2009Accepted: 10 August 2010DOI: 10.1186-1752-1947-4-262

Cite this article as: Altinok, A.A., Balikoglu, M., Sen, E. et al. J Med Case Reports 2010 4: 262. doi:10.1186-1752-1947-4-262

Abstract

IntroductionCorneal damage associated with abuse of topical anesthetics is a rare clinic entity. Topical anesthetic abuse is one of the causes of ring keratitis. Ring keratitis is easily overlooked because it can mimic acanthamoeba keratitis or other infectious keratitis. The outcome is often poor, leading to persistent epithelial defects, corneal scarring, and perforations.

Case presentationWe report the clinical presentation, diagnosis, and treatment of a 65-year-old Caucasian man, who worked as a health care worker, with bilateral toxic keratopathy caused by topical anesthetic abuse. Nonpreserved amniotic membrane transplantation was performed for both eyes of the patient.

ConclusionIt is important to identify and treat patients who abuse topical anesthetics before permanent vision loss ensues. Nonpreserved amniotic membrane transplantation may be useful in relieving pain and improving corneal surface in anesthetic agent abusers.

AbbreviationsNP-AMTnonpreserved amniotic membrane transplantation.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-4-262 contains supplementary material, which is available to authorized users.

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Autor: Ayse Asyali Altinok - Melike Balikoglu - Emine Sen - Kurtulus Serdar

Fuente: https://link.springer.com/







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