Use of preservative-free lidocaine for cataract surgery in a patient allergic to "caines"

David Dance, Surendra Basti, Douglas D. Koch*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Although many patients have been labeled allergic to local anesthetics (LAs), true allergic reactions to LAs are rare. An 81-year-old woman with a history of procaine (Novocaine) allergy presented for cataract surgery. Skin testing showed sensitivity to amide and ester LAs. Further testing with preservative-free lidocaine was negative, suggesting the patient was allergic to ester LAs and preservatives found in amide anesthetic preparations. Cataract extraction was subsequently and uneventfully performed in both eyes with topical anesthesia using preservative-free lidocaine.

Original languageEnglish (US)
Pages (from-to)848-850
Number of pages3
JournalJournal of Cataract and Refractive Surgery
Volume31
Issue number4
DOIs
StatePublished - Apr 1 2005

ASJC Scopus subject areas

  • Ophthalmology

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