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Báo cáo y học: "Nonpreserved amniotic membrane transplantation for bilateral toxic keratopathy caused by topical anesthetic abuse: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Nonpreserved amniotic membrane transplantation for bilateral toxic keratopathy caused by topical anesthetic abuse: a case report. | Altinok et al. Journal of Medical Case Reports 2010 4 262 http www.jmedicalcasereports.eom content 4 1 262 jAc JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Nonpreserved amniotic membrane transplantation for bilateral toxic keratopathy caused by topical anesthetic abuse a case report Ayse Asyali Altinok Melike Balikoglu Emine Sen Kurtulus Serdar Abstract Introduction Corneal 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 presentation We 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. Conclusion It 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. Introduction Corneal damage associated with abuse of topical anesthetics has been reported by various sources 1-3 . Topical anesthetic abuse is one of the causes of ring keratitis 2 . This rare clinic entity 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 1-3 . A case of bilateral toxic keratopathy caused by topical anesthetic abuse that was treated with nonpreserved amniotic membrane transplantation NP-AMT has been reported. To the best of our knowledge this is the first report of NP-AMT use for the treatment of bilateral toxic .