Journal of cataract and refractive surgery
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J Cataract Refract Surg · Oct 2008
Case ReportsAnesthetic keratopathy after photorefractive keratectomy.
We report a case of anesthetic keratopathy after photorefractive keratectomy (PRK) and physician-prescribed topical anesthetic agents. After PRK for hyperopic correction, the patient was sent home with a bandage contact lens and instructions to use anesthetic eyedrops and take oral pain medications after surgery. During the first postoperative week, the eyes did not reepithelialize and bilateral perilimbal infiltrates developed. ⋯ She was instructed to stop the anesthetic agent labeled as "comfort drops" and the fortified antibiotics and start topical steroids. Soon after, the eyes reepithelialized and the infiltrates cleared. This case demonstrates the potential for anesthetic keratopathy in PRK patients.
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J Cataract Refract Surg · Oct 2008
Randomized Controlled Trial Multicenter StudyEfficacy of topical plus intracameral anesthesia for cataract surgery in high myopia: randomized controlled trial.
To assess the efficacy of intracameral lidocaine supplementation of topical anesthesia during cataract surgery in eyes with high myopia. ⋯ Intracameral lidocaine supplementation for cataract surgery may improve intraoperative comfort under topical anesthesia in highly myopic eyes.