title: The surgical looking glass: a readily available safeguard against eye splash injury/contamination during infiltration of anesthesia for cysts and other "porous" lesions of the skin.
abstract: BACKGROUND
  "Breaks" in barrier precautions are a definite abrogating influence on the effectiveness of "universal precautions." Dermatologists and dermatologic surgeons are exposed to significant infectious agents on a daily basis, especially due to the high number of minor surgical procedures performed. Backsplash, spray, and eye splash of bodily fluids during these procedures place the surgeon at a high risk of contamination/infection via the conjunctival membranes. The surgical looking glass is a simple utility based on inexpensive equipment already in place in the physician's office which protects the eyes and face during infiltrative anesthesia or incision of cysts and other lesions.
  
  
  OBJECTIVE
  To offer a simple and inexpensive utility to assist with protection from and reduction of contamination/infection of the ocular mucous membranes during surgical procedures.
  
  
  METHODS
  Utilizing one or two readily available microscope slides overlying the injection site during local infiltrative anesthesia, backsplash or spray can be contained.
  
  
  RESULTS
  This utility is effective in containment of backsplash or spray of anesthesia or bodily fluids during even minor surgical procedures.
  
  
  CONCLUSIONS
  The surgical looking glass can enhance safety and promote "universal precautions" during even minor surgical procedures or infiltration of anesthesia into more porous areas or lesions for the practicing dermatologist or dermatologic surgeon. The pragmatic, practical, and inexpensive nature of the surgical looking glass invites its use on a daily basis by the practicing dermatologist.
authors.affiliation: Carrington Dermatology, Rogers, Arkansas and Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. pcarrington@comcast.net
authors.forename: Patrick R
authors.initials: PR
authors.lastname: Carrington
mesh_terms: D000772:Anesthesia, Local / Q000379:methods*; D062109:Dermatologic Surgical Procedures; D005131:Eye Injuries / Q000517:prevention & control*; D005135:Eye Protective Devices; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control*