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局部用双氯芬酸钠治疗麻醉剂滥用性角膜病变

Topical diclofenac sodium in the management of anesthetic abuse keratopathy.

作者信息

Dornic D I, Thomas J M, Lass J H

机构信息

Department of Ophthalmology, University Hospitals of Cleveland, and Case Western Reserve University School of Medicine, OH 44106, USA.

出版信息

Am J Ophthalmol. 1998 May;125(5):719-21. doi: 10.1016/s0002-9394(98)00009-9.

DOI:10.1016/s0002-9394(98)00009-9
PMID:9625565
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.

摘要

目的

报告一例麻醉剂滥用性角膜病变病例,并建议使用双氯芬酸钠滴眼液治疗该疾病。

方法

在一名滥用局部麻醉剂后发生角膜溃疡的患者中,使用麻醉剂和双氯芬酸钠滴眼液控制疼痛。

结果

使用双氯芬酸钠滴眼液后,患者表示舒适度显著改善,对麻醉剂镇痛的依赖减少。

结论

我们发现双氯芬酸钠滴眼液对控制该麻醉剂滥用性角膜病变患者的疼痛有效。

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Topical diclofenac sodium in the management of anesthetic abuse keratopathy.局部用双氯芬酸钠治疗麻醉剂滥用性角膜病变
Am J Ophthalmol. 1998 May;125(5):719-21. doi: 10.1016/s0002-9394(98)00009-9.
2
Topical anesthetic abuse keratopathy: a commonly overlooked health care problem.局部麻醉剂滥用性角膜病变:一个常被忽视的医疗保健问题。
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The treatment of pain following excimer laser photorefractive keratectomy: additive effect of local anesthetic drops, topical diclofenac, and bandage soft contact.准分子激光屈光性角膜切削术后疼痛的治疗:局部麻醉滴眼液、局部用双氯芬酸和软性角膜接触镜的叠加效应
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Topical anesthetic abuse ring keratitis: report of four cases.局部麻醉药滥用性角膜炎:4例报告
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Anaesthetic abuse keratopathy as a manifestation of ocular Munchausen's syndrome.麻醉药滥用性角膜病变作为诈病性综合征的一种眼部表现。
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Keratitis, ulceration, and perforation associated with topical nonsteroidal anti-inflammatory drugs.与局部非甾体抗炎药相关的角膜炎、溃疡和穿孔。
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Cutan Ocul Toxicol. 2010 Jun;29(2):105-9. doi: 10.3109/15569521003631752.

引用本文的文献

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Topical Ophthalmic Anesthetics for CornealAbrasions: Findings from a Cochrane SystematicReview and Meta-Analysis.用于角膜擦伤的局部眼科麻醉剂:Cochrane系统评价与Meta分析的结果
Res Sq. 2024 Jun 4:rs.3.rs-4160700. doi: 10.21203/rs.3.rs-4160700/v1.
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Topical ophthalmic anesthetics for corneal abrasions.治疗角膜擦伤的眼部表面麻醉剂。
Cochrane Database Syst Rev. 2023 Aug 9;8(8):CD015091. doi: 10.1002/14651858.CD015091.pub2.