Lidocaine-prilocaine cream for local-anesthesia chalazion incision in children.
BACKGROUND
Chalazia are not uncommon in children. If conservative therapy for them fails, incision and drainage are necessary and usually require a general anesthetic, which increases costs and risks.


METHODS
Five children (3 to 8 years old) had a eutectic mixture of lidocaine and prilocaine applied to the skin of the eyelid for 1 hour. Then local anesthetic was injected into the same site.


RESULTS
The local anesthetic injection was painless, permitting successful incision and drainage in all cases.


CONCLUSIONS
Lidocaine-prilocaine cream permits local anesthetic injection into the eyelids, facilitating office-based management of chalazia in children.
Wessels
I F
IF
Department of Ophthalmology, Loma Linda University, CA, USA.
Wessels
G F
GF
D000287:Administration, Topical; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D017043:Chalazion / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004338:Drug Combinations; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage*; D000077442:Lidocaine, Prilocaine Drug Combination; D008297:Male; D009824:Ointments / Q000008:administration & dosage; D011318:Prilocaine / Q000008:administration & dosage*
D000779:Anesthetics, Local; D004338:Drug Combinations; D000077442:Lidocaine, Prilocaine Drug Combination; D009824:Ointments; D011318:Prilocaine; D008012:Lidocaine