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- N F Eaglstein.
- University of Florida, College of Medicine, Orange Park, Florida, USA.
- Dermatol Surg. 1999 Jul 1;25(7):590-1.
BackgroundEMLA cream is commonly used as a topical anesthetic by physicians performing dermatologic surgery.ObjectiveThe purpose of this article is to inform physicians that EMLA cream is highly alkaline and can be particularly toxic to the eye. Symptoms of eye irritation may be initially masked because of local anesthetic effects.MethodsTwo patients are described who developed corneal abrasions from inadvertent exposure of the eye to EMLA cream prior to erbium laser resurfacing.ResultsThe patients developed corneal abrasions and conjunctivitis, consistent with chemical alkaline burns.ConclusionEMLA cream should be used with extreme caution near the eye and probably should be avoided when there is a need to insert laser eye shields.
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