Klinische Monatsblätter für Augenheilkunde
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Klin Monbl Augenheilkd · Apr 2007
Case ReportsClinical findings in patients with topical anaesthetic abuse keratitis: a report of five cases.
The purpose of this study is to describe the clinical findings in five patients with topical anaesthetic abuse. ⋯ Although topical anaesthetic abuse keratitis is rare, it should be considered in the differential diagnosis when we see a patient with a persistent corneal epithelial defect together with a ring infiltration on the corneal stroma. Psychiatric diseases and/or systemic drug abuse are usually associated with this toxic keratopathy. The psychiatric diseases that accompany this toxic keratopathy may also lead to death or to severe handicap as a result of suicide attempts by the patients. Psychiatric consultation and therapy are imperative in the management of such patients.
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Klin Monbl Augenheilkd · Apr 2007
Case ReportsUnusual cause of bilateral optic disc swelling: POEMS syndrome.
POEMS syndrome (Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal protein, Skin changes) is a rare disorder associated with plasma cell disorder. Optic disc swelling can be present, and macular oedema has been reported once before. ⋯ Optic disc swelling is frequent in POEMS and macular oedema may be more frequently present than previously thought. Interestingly macular oedema was detected in the two patients with increased intracranial pressure.