Eaglstein, 1999  Title: Chemical Injury to the Eye from EMLA
Cream During Erbium Laser Resurfacing.
Author: Eaglstein NF
Journal: Dermatol Surg 1999 Jul;25(7):590-591
PMID: 10469121
Affiliated institution:
Cited in:
BACKGROUND: EMLA cream is commonly used as a topical anesthetic
by physicians performing dermatologic surgery.
OBJECTIVE: The purpose of this article is to inform physicians
that EMLA cream is highly alkaline and can be particularly toxic
to the eye. Symptoms of eye irritation may be initially masked
because of local anesthetic effects.
METHODS: Two patients are described who developed corneal abrasions
from inadvertent exposure of the eye to EMLA cream prior to erbium
laser resurfacing.
RESULTS: The patients developed corneal abrasions and conjunctivitis,
consistent with chemical alkaline burns.
CONCLUSION: EMLA cream should be used with extreme caution near
the eye and probably should be avoided when there is a need to
insert laser eye shields.
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