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June 1968


Author Affiliations

Ft. Lauderdale, Fla

Arch Ophthalmol. 1968;79(6):803. doi:10.1001/archopht.1968.03850040805030

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To the Editor.  —In the February 1968 issue of the Archives (79:159-160 [Feb] 1968), the atypical contact dermatitis to a proparacaine ophthalmic solution was discussed. This dermatitis provokes a drying and fissuring of the fingertips of the ophthalmologist so sensitized. It was stated that this dermatitis ceased when other anesthetic agents were substituted.This atypical dermatitis has been observed by many ophthalmologists and considered a minor annoying occupational hazard. In contrast to the findings of Drs. March and Greenwood, it has been noted that switching to other ophthalmic anesthetic solutions gives only temporary relief of the scaling, peeling, fissuring dermatitis, most irritating when occurring under the fingernails. Localizing sensitivity to the other topically applied anesthetic develops over a period of time.This condition can be treated by using a nongreasy cream (Kerodex No. 71). This cream was allegedly compounded during World War II to combat the high absenteeism due

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