Ophthalmology Book


Topical Eye Anesthetic

Aka: Topical Eye Anesthetic, Topical Ophthalmic Anesthetic, Topical Ocular Anesthetic, Alcaine, Ophthetic, Pontocaine
  1. Indications
    1. Eye Evaluation in Trauma
    2. Eye Foreign Body
    3. Eye Irrigation
    4. Intraocular Pressure Testing
  2. Precautions
    1. Typically, non-eye specialists should not dispense for home use after Eye Injury (e.g. Corneal Abrasion)
      1. Delays re-epithelialization
      2. Suppresses normal Blink Reflex
    2. However, studies support the safe, short term use of Topical Antibiotics in uncomplicated Corneal Abrasion
      1. Tetracaine 1% solution has been used safely for up to 24 hours in simple Corneal Abrasion
      2. Simple, small, non-pentrating, non-lacerating Traumatic Eye Injury onset within prior 2 days
      3. Not due to chemical or Contact Lens and no infection, contamination or Retained Foreign Body
      4. Waldman (2017) Ann Emerg Med +PMID: 28483289 [PubMed]
  3. Preparations
    1. Tetracaine 0.5% (Pontocaine)
      1. Onset in 1 minute and lasts for 30 minutes
    2. Proparacaine 0.5% (Alcaine, Ophthetic)
      1. Onset in 20 seconds and lasts for 15 minutes

Topical application of local anesthetic to eye (C0472476)

Concepts Therapeutic or Preventive Procedure (T061)
SnomedCT 231346001
English Topical LA to eye, Topical local anaesthetic to eye, Topical local anesthetic to eye, Topical local anesthetic to eye (procedure), Topical anesthetic, Topical anaesthetic, Topical application of local anesthetic to eye
Spanish anestesia local tópica en ojo (procedimiento), anestesia local tópica en ojo
Derived from the NIH UMLS (Unified Medical Language System)

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