When staining the cornea with fluorescein to look for abrasions or a foreign body, I anesthetize it at the same time. Here's how: I fold the fluorescein strip longitudinally and pour tetracaine ophthalmic solution into the resulting groove. The tetracaine mixes with the stain and carries it along as I drip the medication into the conjunctival sac or over the medial canthus and into the eye. In this way, I avoid two separate procedures.
Amar Dave, MDOttawa, Ill.
Major congenital malformations not linked to first trimester tetracycline use
November 22nd 2024A large population-based study found that first-trimester tetracycline exposure does not elevate the risk of major congenital malformations, though specific risks for nervous system and eye anomalies warrant further research.