Sir,
We are grateful for the comments in this letter. Our patient presented with a full-thickness corneal melt associated with rheumatoid arthritis with no evidence of infection; therefore corneal scrapings were not taken. Topical ofloxacin was administered as a prophylactic measure in view of the use of a soft contact lens in the presence of an aqueous leak. We agree that topical anaesthesia is the most suitable technique for corneal gluing. Our report is of a previously unrecorded, but clinically significant complication of sub-Tenon’s anaesthesia. This remains an invasive technique, which is not risk-free and should only be used if necessary.
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Redmill, B., Sandy, C. & Rose, G. Reply. Eye 16, 215 (2002). https://doi.org/10.1038/sj.eye.6700092
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DOI: https://doi.org/10.1038/sj.eye.6700092