ABSTRACT
PURPOSE: To report a case of anesthetic abuse keratopathy and to suggest the use of topical diclofenac sodium in the management of this disorder. METHOD: Narcotics and topical diclofenac were used to control pain in a patient who developed a corneal ulcer after abusing topical anesthetics. RESULT: After the institution of topical diclofenac, the patient reported substantial improvement in comfort and less reliance on narcotic agents for analgesia. CONCLUSION: We found topical diclofenac to be useful in controlling pain in this patient with anesthetic abuse keratopathy.
Subject(s)
Anesthetics, Local/adverse effects , Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Corneal Ulcer/drug therapy , Diclofenac/therapeutic use , Propoxycaine/adverse effects , Substance-Related Disorders/therapy , Administration, Topical , Adult , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Corneal Ulcer/chemically induced , Corneal Ulcer/pathology , Diclofenac/administration & dosage , Humans , Male , Pain/chemically induced , Pain/drug therapy , Substance-Related Disorders/complications , Substance-Related Disorders/pathologyABSTRACT
A soft contact lens patient complained of persistent redness, blurry vision and photophobia of the right eye. Both tap water and distilled water were used in his contact lens care regimen. Atypical corneal epithelial dendriform patterns were noted and the patient was treated for presumed herpes simplex keratitis and corneal erosion. The definitive diagnosis of Acanthamoeba dendriform keratitis was made upon isolation of the offending organism from the patient's contact lens case. The clinical course is presented to help define early clinical signs of the disease.
Subject(s)
Amebiasis/pathology , Contact Lenses, Hydrophilic , Keratitis/pathology , Acanthamoeba , Adolescent , Animals , Cornea/pathology , Diagnosis, Differential , Epithelium/pathology , Humans , Keratitis, Dendritic/pathology , MaleABSTRACT
Thrombocytopenia is a deficiency in circulating platelets. Abnormal ocular bleeding can result when thrombocytopenia is severe. Two cases of ocular hemorrhage attributed to thrombocytopenia are presented. Platelet abnormalities should be considered in the investigation of excessive or spontaneous bleeding.
Subject(s)
Eye Hemorrhage/etiology , Thrombocytopenia/complications , Adult , Aged , Humans , MaleABSTRACT
A homonymous quadrantanopic visual field defect was discovered in a healthy, asymptomatic 43-year-old female. Computerized tomography revealed the source of the field defect. Since visual field defects can be associated with life threatening disorders, eye examinations should include some assessment of the visual field.
Subject(s)
Brain Diseases/complications , Calcinosis/complications , Vision Disorders/etiology , Visual Fields , Adult , Brain Diseases/diagnostic imaging , Calcinosis/diagnostic imaging , Female , Humans , Tomography, X-Ray ComputedABSTRACT
Two wearers of soft cosmetic contact lenses developed corneal infection by the protozoa Acanthamoeba. Contact lens solutions were found to be contaminated in both cases. The clinical course and management are described in this report. Factors that may predispose contact lens wearers to infection by Acanthamoeba and preventative measures are discussed.
Subject(s)
Amebiasis , Contact Lenses, Hydrophilic/adverse effects , Keratitis/etiology , Adult , Corneal Transplantation , Female , Humans , Keratitis/pathology , Keratitis/therapy , Steroids/therapeutic useABSTRACT
Phthirus pubis, commonly known as the crab louse, has as its habitat the pubic and inguinal regions of the body. Transfer between hosts is most commonly a result of sexual contact. On occasion, Phthirus pubis will leave its usual seat of predilection and infest other hair-bearing body parts. When infestation of the eyelashes occurs, it is known as phthiriasis palpebrarum. The case presented is an example of phthiriasis palpebrarum in a young female, apparently contracted as a result of transfer from the genital region of an affected male by hand contact.
