Proparakaine bağlı keratopati olgularımız
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Date
2011-08-18
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Uludağ Üniversitesi
Abstract
Çalışmanın amacı topikal proparakainin kötü kullanımına bağlı göz problemlerini sunmaktır. Mayıs 2006 ile Şubat 2010 arasında Uludağ Üniversitesi Tıp Fakültesi Göz Hastalıkları Anabilim Dalı’nda takip edillmiş olgular sunulmuştur. Toplam 20 olgunun (hepsi erkek ve 19-49 yaş aralığında) 16 tanesi sanayide metal işçisi idi. Olguların ilacı kullanmasına sebep 8 kişide kaynak alması, 7 sinde yabancı cisim sonrası, diğerlerinde ise böcek ilacı kaçması, yabancı cisim çarpması, gözlük çarpması, keratit ve korneal ülser sonrası idi. İlacın ortalama kullanımı 19 gün (2-60) idi. Olgularda epitelizasyon ortalama 4-60 günde gerçekleşti. Ülkemizde ilacın kolaylıkla elde edilebilirliği ve bilinçsizce kullanımı ciddi problemlere sebep olabilmektedir..
The purpose of the study is to present the clinical characteristics of patients abusing topical 0.5 % proparacaine HCL. The records of all patients with topical anaesthetic abuse referred to Department of Ophthalmology at Uludag University between May 2006 and February 2010 were reviewed. The study included 20 patients (20 males; age range: 19-49 years; mean age: 35 years). Sixteen of them were metalworkers. The causes for initiation of topical proparacaine HCl abuse was welding arc flash injury in 8 and corneal foreign body in 7 patients. The other causes for remaining 5 were insecticide spray exposure, foreign body strike, spectacle strike, keratitis and corneal ulcer. Mean time of abuse was 19 days (range 2-60 days). Epithelization time ranged from 4 to 60 days. Bandage contact lenses were used in all patients with 20% autologous serum and preservative –free dexamethasone drops. The patients were followed up for at least 6 months. Physicians should be familiar with the clinical characteristics and consequences of topical proparacaine HCL abuse.
The purpose of the study is to present the clinical characteristics of patients abusing topical 0.5 % proparacaine HCL. The records of all patients with topical anaesthetic abuse referred to Department of Ophthalmology at Uludag University between May 2006 and February 2010 were reviewed. The study included 20 patients (20 males; age range: 19-49 years; mean age: 35 years). Sixteen of them were metalworkers. The causes for initiation of topical proparacaine HCl abuse was welding arc flash injury in 8 and corneal foreign body in 7 patients. The other causes for remaining 5 were insecticide spray exposure, foreign body strike, spectacle strike, keratitis and corneal ulcer. Mean time of abuse was 19 days (range 2-60 days). Epithelization time ranged from 4 to 60 days. Bandage contact lenses were used in all patients with 20% autologous serum and preservative –free dexamethasone drops. The patients were followed up for at least 6 months. Physicians should be familiar with the clinical characteristics and consequences of topical proparacaine HCL abuse.
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Keywords
Proparakain, Keratopati, Proparacaine, Epitel defekti, Epitelial defect, Keratopathy
Citation
Baykara, M. vd. (2011). ''Proparakaine bağlı keratopati olgularımız''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 37(3), 131-133.