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EMLA CreamInduced Eye Injury
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We report a case of extensive corneal de-epithelialization following contact with EMLA cream (Astra USA Inc, Westborough, Mass; 2.5% lidocaine and 2.5% prilocaine).
Report of a Case
A 20-year-old white woman presented for treatment of persistent erythema of facial scars. Flash-pump dye laser treatment of the scars was performed. Two hours prior to treatment, 30 g of EMLA cream was applied and occluded with OpSite (Smith & Nephew Inc, Largo, Fla) to the bilateral periorbital and proximal nasal sidewall areas; it was removed immediately prior to treatment. An eye shield was placed in the right eye for corneal protection just prior to treatment. The patient tolerated treatment well. She presented the following day complaining of right eye pain and blurred vision. She noted, in retrospect, that EMLA cream had inadvertently entered her right eye on the day of treatment. This caused immediate discomfort that subsided, only to recur several hours later. She was referred . . . [Full Text of this Article] Comment
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