Abstract
Ocular burns are a common emergency situation where the cooperation between the emergency physician and ophthalmologist is essential for evaluation and for optimum treatment of patient. A prompt and appropriate management will allow minim functional sequelae that can be very disabling. Knowledge of the causative agents, well-performed clinical examination and efficient eyewash are needed before more specialized treatments are considered.
References
Jones NP, Hayward JM, Khaw PT, Claoue CM, Elkington AR. Function of an ophthalmic «accident and emergency» department: results of a six month survey. BMJ 1986; 292:188-90.
Liggett PE, Pince KJ, Barlow W, Ragen M, Ryan SJ. Ocular trauma in an urban population. Review of 1132 cases. Ophthalmology 1990; 97:581-4.
Macdonald EC, Cauchi PA, Azuara-Blanco A, Foot B. Surveillance of severe chemical corneal injuries in the UK. Br. J. Ophthalmol. 2009; 93:1177-80.
Beare JD. Eye injuries from assault with chemicals. Br J Ophthalmol. 1990; 74:514-8.
Vajpayee RB, Himanshu Shekhar H, Sharma N, Jhanji V. Demographic and Clinical Profile of Ocular Chemical Injuries in the Pediatric Age Group. Ophthalmology 2014; 121:377-80.
Ratnapalan S, Savithiri, Das L. Causes of Eye Burns in Children. Pediatr Emerg Care 2011; 27:151-6.
Gicquel JJ, Dua H. Brûlures cornéennes. EMC – Ophtalmologie 2011; 8:1-12.
Pfister RR. Chemical injuries of the eye. Ophthalmology 1983; 90:1246-53.
Burns FR, Paterson CA. Prompt irrigation of chemical eye injuries may avert severe damage. Occup Health Saf. 1989; 58:33-6.
Dua HS, King AJ, Joseph A. A new classification of ocular surface burns. Br J Ophthalmol 2001; 85:1379-83.
Hoang-Xuan T, Hannouche D. Medical treatment of ocular burns J Fr Ophtalmol 2004; 27:1175-8.
Kobayashi A, Shirao Y, Yoshita T, Yagami K, Segawa Y, Kawasaki K et al. Temporary amniotic membrane patching for acute chemical burns. Eye 2003; 17:149-58.
Tseng SC, Prabhasawat P, Barton K, Gray T, Meller D. Amniotic membrane transplantation with or without limbal allografts for corneal surface reconstruction in patients with limbal stem cell deficiency Arch. Ophthalmol 1998; 116:431-41.
Meller D, Pires RT, Mack RJ, Figueiredo F, Heiligenhaus A, Park WC et al. Amniotic membrane transplantation for acute chemical or thermal burns. Ophthalmology 2000; 107:980-9.
Borderie V, Touzeau O, Bourcier T, Allouch C, Scheer S, Laroche L. Treatment of the sequelae of ocular burns using limbal transplantation. J Fr Ophtalmol 2003; 26:710-6.
Vazirani J, Basu S, Kenia H, Ali MH, Kacham S, Mariappan I. et al. Unilateral partial limbal stem cell deficiency: contralateral versus Ipsilateral autologous cultivated limbal epithelial transplantation. Am J Ophthalmol 2014; 157:584-90.
Basu S, Ali H, Sangwan VS. Clinical Outcomes of Repeat Autologous Cultivated Limbal Epithelial Transplantation for Ocular Surface Burns. Am J Ophthalmol 2012; 153:643-50.
Barreiro TP, Santos MS, Vieira AC, de Nadai Barros J, Hazarbassanov RM, Gomes JÁ. Comparative study of conjunctival limbal transplantation not associated with the use of amniotic membrane transplantation for treatment of total limbal deficiency secondary to chemical Injury. Cornea 2014; 33:716-20.
Kuckelkorn R, Kottek A, Schrage N, Redbrake C, Reim M. Long-term results of Tenon-plasty in treatment of severe chemical eye burns. Ophthalmologe 1995; 92:445-51.
Wagoner MD. Chemical injuries of the eye: current concepts in pathophysiology and therapy. Surv Ophtalmol 1997; 41:275-313.