The Effect of Topical Ocular Anesthetic Proparacaine on Conjunctival and Nasal Mucosal Flora in Dry Eye Disease Patients
by
Ozlem Onerci Celebi 1 and
Ali Riza Cenk Celebi 2,*
Ozlem Onerci Celebi 1 and
Ali Riza Cenk Celebi 2,*
1
Eregli State Hospital Department of Otorhinolaryngology, TorosMah. Yurt Cad. No. 13, 42000 Eregli, Konya, Turkey
2
Acibadem University School of Medicine, Atakent Education and Research Hospital Department of Ophthalmology, TurgutOzalBlvrd. No.16, 34303 Kucukcekmece, Istanbul, Turkey
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2018, 7(4), 73; https://doi.org/10.3390/jcm7040073
Received: 26 March 2018 / Revised: 6 April 2018 / Accepted: 7 April 2018 / Published: 9 April 2018
(This article belongs to the Section Anesthesiology)
The aim of this study was to investigate the effect of topically applied ocular anesthetic proparacaine on conjunctival and nasal bacterial mucosal flora in patients with dry eye disease. A Schirmer test was done with (group 1) and without (group 2) topical anesthetic proparacaine to 40 patients in each group. Conjunctival and nasal cultures were obtained before and 10 min after performing the Schirmer test. The bacterial culture results and the isolated bacteria were recorded in two groups. Patients’ mean age was 62 years (70 female, 10 male). Before the application of topical anesthetic, 50 (62.5%) and 62 (77.5%) had positive conjunctival and nasal culture, respectively, with the most commonly isolated organism being coagulase-negative Staphylococcus in each group. In group 1 the conjunctival bacterial culture positivity rate decreased from 26 (65%) to six (15%) eyes (p < 0.001); however, this rate decreased slightly from 24 (60%) to 20 (50%) eyes in group 2 (p > 0.05). For the nasal cultures, the bacterial culture positivity rate decreased from 80% to 20% and from 75% to 65% in groups 1 (p < 0.001) and 2 (p > 0.05), respectively. Topical ocular anesthetic proparacaine has antibacterial activity in both conjunctival and nasal flora in patients with dry eye disease.
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Keywords:
anesthetic; antibacterial; conjunctival flora; nasal mucosal flora; dry eye; proparacaine
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
MDPI and ACS Style
Onerci Celebi, O.; Celebi, A.R.C. The Effect of Topical Ocular Anesthetic Proparacaine on Conjunctival and Nasal Mucosal Flora in Dry Eye Disease Patients. J. Clin. Med. 2018, 7, 73.
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