Topical diclofenac sodium in the management of anesthetic abuse keratopathy.
OBJECTIVE
To report a case of anesthetic abuse keratopathy and to suggest the use of topical diclofenac sodium in the management of this disorder.


METHODS
Narcotics and topical diclofenac were used to control pain in a patient who developed a corneal ulcer after abusing topical anesthetics.


RESULTS
After the institution of topical diclofenac, the patient reported substantial improvement in comfort and less reliance on narcotic agents for analgesia.


CONCLUSIONS
We found topical diclofenac to be useful in controlling pain in this patient with anesthetic abuse keratopathy.
Dornic
D I
DI
Department of Ophthalmology, University Hospitals of Cleveland, and Case Western Reserve University School of Medicine, OH 44106, USA.
Thomas
J M
JM
Lass
J H
JH
D000287:Administration, Topical; D000328:Adult; D000779:Anesthetics, Local / Q000009:adverse effects*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000627:therapeutic use*; D003320:Corneal Ulcer / Q000139:chemically induced / Q000188:drug therapy* / Q000473:pathology; D004008:Diclofenac / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D010146:Pain / Q000139:chemically induced / Q000188:drug therapy; D011430:Propoxycaine / Q000009:adverse effects*; D019966:Substance-Related Disorders / Q000150:complications / Q000473:pathology / Q000628:therapy*
D000779:Anesthetics, Local; D000894:Anti-Inflammatory Agents, Non-Steroidal; D004008:Diclofenac; C005717:proxymetacaine; D011430:Propoxycaine