Journal of cataract and refractive surgery
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J Cataract Refract Surg · Apr 1997
Case ReportsKeratitis from corneal anesthetic abuse after photorefractive keratectomy.
After having photorefractive keratectomy (PRK), a 29-year-old man suffered from delayed epithelial healing and corneal stromal ring infiltrates. All laboratory results including smear, culture, and biopsy for bacteria, herpes simplex virus, and Acanthamoeba were negative. ⋯ After all medication was discontinued and the eye pressure patched, the corneal epithelium healed completely. Practitioners should consider the possibility of topical anesthetic abuse in cases of keratitis after PRK.
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A patient with posterior lens capsule rupture caused by blunt trauma and in whom the anterior capsule and the remainder of the eyeball structure was intact had phacoemulsification and aspiration of the crystalline lens with implantation of a posterior chamber intraocular lens. Further rupture of the capsule was prevented by the fibrosis, which tightened the margin of the ruptured capsule. This case shows that blunt trauma can rupture the posterior lens capsule, leaving the anterior capsule intact.
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J Cataract Refract Surg · Jun 1996
Randomized Controlled Trial Clinical TrialEfficacy and safety of topical diclofenac in reducing ocular pain after excimer photorefractive keratectomy.
To evaluate the efficacy and safety of diclofenac sodium 0.1% ophthalmic solution in patients having myopic photorefractive keratectomy (PRK). ⋯ Topical diclofenac significantly reduced the ocular pain and discomfort immediately after excimer PRK without any clinically significant complications or adverse effects.