Topical Anesthetic Misuse in Patients Admitted to Sabzevar Eye Clinic in Iran - - - Nepravilna upotreba topikalnih anestetskih kapi za oči kod bolesnika primljenih na očnu kliniku u Sabzevaru u Iranu
Journal Title: Acta Facultatis Medicae Naissensis - Year 2016, Vol 33, Issue 4
Abstract
Topical anesthetic eye drops are used extensively for ophthalmic examinations but self-treatment and non-technical removal of foreign bodies using tetracaine drops can be hazardous. The present study intended to determine the inadmissible uses of anesthetic tetracaine eye drops, manner of drug obtaining and likelihood of the ocular complications in the patients. This cross-sectional study was conducted on 162 patients with ocular pain and foreign body sensation, red eye or lid edema admitted to the Eye clinic in Sabzevar, Iran. Variables included age, sex, chief compliant, job, site of foreign bodies, diagnosis of problem, use of tetracaine drops, drug provision, times patients referred to the eye clinic, and kinds of treatment. The most common chief complaint for admission to the Eye clinic was lacrimation (55.6%), followed by ocular pain, and foreign body sensation (35.8%). Some patients (30.9%) (mostly welders) inadmissibly used topical tetracaine eye drops; 21.6% of cases obtained tetracaine eye drops from drugstores without doctor’s prescription, and only 3.7% provided drugs by prescription. Corneal site (81.5%) was the most common location of foreign body; metallic foreign body (63%) was the most common. One patient was admitted in hospital for management. Topical inadmissible tetracaine (0.5%) is commonly used by welders, who obtain it from drugstores without prescriptions due to its simple usage and short acting pain relief. Supervision is required over drugstores for denying it if demanded without a prescription. Enhancing clients’ awareness is also suggested. - - - Topikalne anestetske kapi za oči se često koriste kod oftalmoloških pregleda, dok samolečenje i nestručno ukljanjanje stranih tela pomoću kapi tetrakaina može biti opasno. Cilj ove studije bio je da prikaže nedozvoljenu upotrebu anestetskih tetrakain kapi za oči, način dobijanja leka i mogućnost nastanka komplikacija u oku kod ovih bolesnika. Ova studija preseka je obuhvatila 162 bolesnika primljena na očnu kliniku u Sabzevaru u Iranu, koji su imali bol u očima, tegobe zbog prisustva stranog tela, crvenilo u očima ili otečenost kapka. Ispitivane varijable su bile starost, pol, glavna tegoba, mesto prisustva stranog tela, dijagnoza, upotreba tetrakain kapi, dobijanje leka, broj upućivanja bolesnika na kliniku i vrsta tretmana. Najčešće tegobe zbog kojih su bolesnici primani na kliniku bile su suzne oči (55.6%), stanje praćeno bolom u oku i tegobama zbog prisustva stranog tela (35,8%). Određeni broj bolesnika (30.9%) (uglavnom varioci) su samonicijativno koristili topikalne tetrakain kapi za oči; 21,6% bolesnika su u apotekama dobili kapi bez lekarskog recepta, a samo 3.7% je imalo recept. Rožnjača (81,5%) je bila najčešća lokacija stranog tela, dok su metalna strana tela (63%) bila najčešća. Jedan bolesnik je bio primljen zbog bolničkog lečenja. Topikalni tetrakain (0,5%) najčešće koriste varioci koji ove kapi uzimaju bez recepta zbog jednostavne upotrebe i brzog prestanka bola. Preporučuje se bolje informisanje bolesnika
Authors and Affiliations
Ebrahim Shirzadeh, Nematullah Shomoossi, Hasan Abdolahzadeh
Keywords
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- EP ID EP347352
- DOI 10.1515/afmnai-2016-0030
- Views 99
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