국소마취연고에 의한 각결막 화상손상 1예

• 영문명: A Case of Keratoconjunctival Chemical Injury from a Topical Anesthetic Ointment
• 발행기관: 대한안과학회
• 저자명: 신진희 정진권,Jin Hee Shin, MD, Jin Kwon Chung, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number7, 1030~1034쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.07.15

영문 초록

Purpose: To report a case of keratoconjunctival chemical injury caused by exposure to EMLA? 5% cream. Case summary: A 51-year-old woman presented with ocular pain and decreased visual acuity in her left eye after an autologous fat injection for forehead lifting. At her initial visit, her best corrected visual acuity was 20/40 in the left eye. Slit-lamp examination showed a diffuse corneal epithelial defect and conjunctival injection. Based on history of inadvertent seepage of EMLA? 5% cream into the left eye and clinical findings consistent with chemical injury, the patient was treated with antibiotics, steroids, and artificial tears. Two weeks after treatment, several corneal erosions remained, and best corrected visual acuity improved to 20/20. After two months, the corneal and conjunctival epithelia were healed. Conclusions: EMLA? 5% cream is commonly used as topical anesthetic ointment for dermatologic surgery, including laser procedures. The cream is highly alkaline and can cause chemical injury to the eye, thus extreme caution should be used when applying the cream to the eyelid or face. J Korean Ophthalmol Soc 2012;53(7):1030-1034

키워드

Alkaline, Chemical injury, Topical anesthetic ointment