Corneal Injuries

Lubeck, David; Greene, James

doi:10.3109/08820539009060156

Cited by 5 publications

(6 citation statements)

References 2 publications

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“…According to the recommendations of the ANSI Standard (The American National Standards Institute) from 2004 (Z358. [35] rinsing starting with a maximum delay of 10 s after eye burns should be carried out for a period of no less than 15 min with a sufficient quantity of 500-1,000 ml of the isotonic physiological saline solution NaCl 0.9% or with the available solution, which in most cases is tap water [12,14,20,24,27]. These recommendations are also made by the labour protection organisations in addition to lowering the pain factor and protecting the healthy second eye from injury [33][34][35].…”

Section: S Rihawimentioning

confidence: 99%

Emergency treatment of eye burns: which rinsing solution should we choose?

Rihawi

Frentz

Schrage

2005

Graefe's Arch Clin Exp Ophthalmo

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Section: S Rihawimentioning

confidence: 99%

Emergency treatment of eye burns: which rinsing solution should we choose?

Rihawi

Frentz

Schrage

2005

Graefe's Arch Clin Exp Ophthalmo

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“…Immediate irrigation is of paramount importance after chemical or thermal burns (Lubeck & Greene 1988; Cohen & Hyndiuk 1978; Rodeheaver et al. 1982).…”

Section: Emergency Treatmentmentioning

confidence: 99%

“…As strong acids and alkalis penetrate within seconds or minutes and remain for hours (Grant & Kern 1955), irrigation should not be interrupted during transport to a professional eye‐care unit. The recommendations for minimum irrigation times range from 15 min (ANSI standard; Lubeck & Greene 1988) to 2–4 h (Pfister 1983; Saari et al. 1984).…”

Section: Transport Problemsmentioning

confidence: 99%

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Emergency treatment of chemical and thermal eye burns

Kuckelkorn

Schrage

Keller

et al. 2002

Acta Ophthalmologica Scandinavica

151

106

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ABSTRACT.Chemical and thermal eye burns account for a small but significant fraction of ocular trauma. The speed at which initial irrigation of the eye begins, has the greatest influence on the prognosis and outcome of eye burns. Water is commonly recommended as an irrigation fluid. However, water is hypotonic to the corneal stroma. The osmolarity gradient causes an increased water influx into the cornea and the invasion of the corrosive substance into deeper corneal structures. We therefore recommend higher osmolarities for the initial rinsing to mobilize water and the dissolved corrosives out of the burnt tissue. Universal systems such as amphoteric solutions, which have an unspecific binding with bases and acids, provide a convenient solution for emergency neutralisation. Both conservative anti-inflammatory therapy and early surgical intervention are important to reduce the inflammatory response of the burnt tissue. In most severe eye burns, tenonplasty re-establishes the conjunctival surface and limbal vascularity and prevents anterior segment necrosis.

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“…[10] recommends avoiding any delay in the rinsing of chemical eye burns, which must start during the first 10 s after the accident. Rinsing must continue for a minimum of 15 minutes, using no less than 1000 ml of the rinsing agent available, which often may be ordinary tap water [1,[11][12][13][14]. The Occupational Safety and Health Administration (OSHA) make similar recommendations, aiming at reducing pain and protecting the second eye from injury [10,15].…”

Section: Introductionmentioning

confidence: 99%