Journal of cataract and refractive surgery
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J Cataract Refract Surg · Jul 2005
Randomized Controlled Trial Comparative Study Clinical TrialComparison of postoperative pain in patients following photorefractive keratectomy versus advanced surface ablation.
To compare postoperative pain associated with advanced surface ablation versus traditional photorefractive keratectomy (PRK). ⋯ Advanced surface ablation was associated with statistically significantly more postoperative pain than PRK on postoperative day 1. A greater percentage of patients reported more pain in the advanced surface ablation-treated eyes on day 3. Refractive surgeons should consider the postoperative pain associated with advanced surface ablation when deciding on the type of epithelial debridement for their patients.
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J Cataract Refract Surg · Apr 2005
Case ReportsUse of preservative-free lidocaine for cataract surgery in a patient allergic to "caines".
Although many patients have been labeled allergic to local anesthetics (LAs), true allergic reactions to LAs are rare. An 81-year-old woman with a history of procaine (Novocaine) allergy presented for cataract surgery. ⋯ Further testing with preservative-free lidocaine was negative, suggesting the patient was allergic to ester LAs and preservatives found in amide anesthetic preparations. Cataract extraction was subsequently and uneventfully performed in both eyes with topical anesthesia using preservative-free lidocaine.
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J Cataract Refract Surg · Feb 2005
Case ReportsMeningococcal septicemia presenting as bilateral endophthalmitis.
We present a patient with bilateral endophthalmitis as the presenting sign of meningococcal septicemia. Systematic examination and vitreous tap conclusively identified the microbe, and appropriate treatment was administered, with good recovery of vision.
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J Cataract Refract Surg · Dec 2004
Case ReportsRetrobulbar hemorrhage after sub-Tenon's anesthesia.
We present a case of retrobulbar hemorrhage from uneventful, infranasal, sub-Tenon's anesthesia before cataract surgery. To our knowledge, this is the first report of such a complication.