Department of Ophthalmology, Assaf Harofeh Medical Center, Tel-Aviv University, Tel-Aviv, Israel.
Cornea. 2011 Jan;30(1):105-6. doi: 10.1097/ICO.0b013e3181e458af.
To report the diagnosis and management of a patient with chronic ophthalmic topical anesthetic abuse and floppy eyelid syndrome.
We describe the case of a 47-year-old man suffering from persistent bilateral ocular irritation and chronic corneal erosions.
The patient was hospitalized in our ophthalmology department and underwent thorough ophthalmic, systemic, and psychiatric evaluation. Chronic topical anesthetic abuse was discovered. Removal of abused drops and copious lubricating treatment lead to partial improvement further permitting diagnosis of floppy eyelid syndrome. Definitive surgical treatment by horizontal eyelid tightening combined with continuous lubrication resulted in remission of symptoms.
Uncommon conditions may coexist in 1 patient. In this case, floppy eyelid syndrome resulted in topical anesthetic abuse. Ophthalmologists should keep both these conditions in mind when treating patients with otherwise unexplained chronic persistent corneal erosions.
报告 1 例慢性眼部局部麻醉剂滥用伴眼睑下垂综合征患者的诊断和治疗方法。
我们描述了 1 例 47 岁男性患者，其患有持续性双侧眼部刺激和慢性角膜糜烂。
患者因慢性局部麻醉剂滥用被收入我院眼科。经全面眼科、系统和精神科评估后发现，该患者患有慢性局部麻醉剂滥用。停止使用滥用的滴眼剂并进行大量润滑治疗后，症状部分改善，从而进一步诊断为眼睑下垂综合征。通过水平眼睑收紧联合持续润滑的确定性手术治疗使症状缓解。
在 1 例患者中可能会同时存在不常见的病症。在本例中，眼睑下垂综合征导致了局部麻醉剂滥用。当眼科医生治疗其他原因不明的慢性持续性角膜糜烂的患者时，应牢记这两种情况。
