Study objective: To determine the effect of topical anesthetics on Vis
ual acuity (VA). Methods: We studied 66 consecutive patients (73 affli
cted eyes) who presented to a university hospital emergency department
with the complaint of eye pain. VA was measured before and after pati
ents were treated with proparacaine, a topical ocular anesthetic. Resu
lts: After proparacaine instillation, VA was improved in 33 patients (
45%), unchanged in 34 (47%), and worse in 6 (8%). Conclusion: Patients
with eye pain often demonstrate improved VA after the instillation of
a topical anesthetic.