Early and late complications of ocular burn injuries

Cabalag, Miguel S.; Wasiak, Jason; Syed, Quaderi; Paul, Eldho; Hall, Anthony J.; Cleland, Heather

doi:10.1016/j.bjps.2014.10.031

Cited by 45 publications

(28 citation statements)

References 11 publications

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“…The reported incidence ranges from 1.5 per 100,000 to 13.3 per 100,000 [4,6,9].In addition, 1480 cases suffering from chemical injuries were reported to the Victorian Poisons Information Centre in Australia, supporting a telephone-based advice service, but the incidence did not be calculated [10].However, only a few patients, ranging from 10 to 99, hospitalized for ocular chemical injuries [11][12][13].This difference in the hospitalized number of ocular chemical injuries between previous studies and our study might be due to the Most victims were young men engaged in industrial or construction work, which was in agreement with previous studies. Men aged 18-64 years [4,10]and children aged 1-2 years [7,14]might be at the highest risk for ocular chemical injury in the workplace or residential locations due to occupational exposure and topical personal products and cleaning agents. Although the delay in the presentation of 133 (83.1%) patients for medical treatment was less than 24 hours after injury, only 64 (40.0%) patients were at the consultation room in less than 3 hours.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, long-term glaucoma medication was used in most eyes with elevated IOP in the first week after injury. The development of glaucoma might be due to synechiae and angle closure by secondary chronic inflammation, ciliary body necrosis in deeply penetrating alkali injuries, damage to the trabecular meshwork, severe uveitis, long-term steroid use, phacomorphic or phacolytic mechanisms, and contraction of the sclera [8].Moreover, progressive optic nerve damage of glaucoma was observed in some patients with normal IOP, probably due to the subtle damage in ganglion cell layer by the alkali and the abnormal sensitivity to normal pressure [20].Cabalag et al [7]reported that lagophthalmos was the most common early complication, and corneal scarring was the most common late complication. Central corneal opacity or perforation was the most common complication in severe chemical injuries, and cataract and retinal attachment were also observed [6].…”

Section: Discussionmentioning

confidence: 99%

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Clinical Characteristics of Patients Hospitalized for Ocular Chemical Injuries in Shanghai from 2012 to 2017

Jiang

Zhou

2018

Preprint

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Background: To summarize the clinical characteristics of patients with ocular chemical injuries and evaluate their potential relationship with the visual outcome by analyzing the medical records of these patients from January 1, 2012, to December 31, 2017. Methods: This is a retrospective case series study. Patient data included age, gender, occupational classification, location of ocular chemical injury, initial and final best-corrected distance visual acuity (BCDVA), intraocular pressure (IOP), nature and chemical phase, distribution and severity of chemical injury, management methods, and complications. All variables were evaluated for their potential relationship with visual outcome. Results: A total of 160 patients were hospitalized with ocular chemical injuries. The majority of the patients were factory workers and arrived at the consultation room less than 24 hours after injury. The most common ocular injury setting, classification of severity, causative chemical, chemical phase, and complications were workplace, grade Ⅱ, unknown and mixed substance, liquid, and elevated IOP, respectively. The risk factors for poor final BCDVA were identified as older age, poor initial BCDVA, and irrigation 24 hours after injury (P < 0.001, P < 0.001, and P = 0.011, respectively). Conclusion: We elaborate the clinical characteristics and outcomes of patients with ocular chemical injuries in Jinshan District, Shanghai. A comprehensive education program should be established and the use of protective eyewear should be promoted to prevent occupation-related ocular chemical injuries.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Patients Hospitalized for Ocular Chemical Injuries in Shanghai from 2012 to 2017

Jiang

Zhou

2018

Preprint

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“…In der Regel erlangt jedoch die Schädigung der ableitenden Tränenwege erst in der Spätphase der Entzündungsreaktion mit der Rekonstruktion und Vernarbung des Gewebes sowie störender Epiphora eine klinische Relevanz. Trotzdem werden als Komplikationen in dieser Spätphase oft nur die "konjunktivale und korneale Vernarbung", das "trockene Auge", die "Lidfehlstellung" (Narbenektropium und -entropium mit Trichiasis), Einschränkungen des Sehvermögens sowie späte Infektionen genannt, während Hinweise auf Tränenwegstenosen zumeist fehlen [5,11,12].…”

Section: Gefährdungspotenzialunclassified

Tränenwegstenosen durch Verätzungen und Verbrennungen

Struck

Heichel

2019

Klin Monatsbl Augenheilkd

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Zusammenfassung Hintergrund Verätzungen und Verbrennungen der Augenoberfläche gehören zu den ophthalmologischen Notfällen mit hohem Gefährdungspotenzial. Eine in der Folge resultierende chronische Epiphora kann zu einem hohen Leidensdruck bei den betroffenen Patienten führen. Methode Anhand einer Literaturrecherche unter Berücksichtigung aktueller Arbeiten und Darstellung eigener Erkenntnisse, beruhend auf langjährigen Erfahrungen, sollen Handlungsempfehlungen zum Umgang mit sekundär erworbenen Tränenwegstenosen nach Schädigung der okulären Oberfläche durch Verätzungen und Verbrennungen gegeben werden. Ergebnisse Initial ist eine Einstufung des Schädigungsgrades essenziell. Nach Demarkation der Nekrosen sollte deren Abtragung erfolgen. Hierbei sind die ableitenden Tränenwege (TNW) auf ihre Durchgängigkeit zu prüfen. Liegt primär eine Beteiligung der TNW vor, sind diese zu behandeln. Dabei sind vor allem Stenosen im Bereich der Tränenpünktchen bzw. -röhrchen zu erwarten. Hier kann eine Rekanalisierung mittels konischer Sonden oder Bangerter-Kanülen erfolgen. Die TNW sind nachfolgend durch eine endokanalikuläre Schienung zu sichern. Besteht primär keine Beteiligung der TNW, sollte für eine sekundäre Rekonstruktion bis zum Abschluss der Narbenbildung abgewartet werden. Schlussfolgerung Nur selten kommt es zu einer behandlungsbedürftigen Epiphora aufgrund einer TNW-Stenose nach Verätzung oder Verbrennung der Augenoberfläche. Eine chirurgische Intervention sollte, wenn möglich, nicht vor 6 Monaten nach Trauma durchgeführt werden.

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“…Ocular disease and injuries represent a sizeable burden to emergency departments, have been associated with long-term sequelae and reduced quality of life. 1,2 The Baltimore Eye Survey has reported a 14.4% cumulative lifetime prevalence of eye injury in the general population. 3 Another study has indicated a 13.2 per 100 000 population annual rate of hospitalization due to ocular trauma.…”

Section: Introductionmentioning

confidence: 99%

Early versus late traumatic cataract surgery and intraocular lens implantation

Tabatabaei

Rajabi

Soleimani

et al. 2017

Eye

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PurposeTo determine the proper time for traumatic cataract surgery after open globe injuries.SettingFarabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.DesignRandomized clinical trial.Patients and methodsIn a randomized clinical trial, 30 eyes with traumatic cataract after open globe injury with IOL implantation underwent early (in the first week after the trauma) and 30 eyes underwent late cataract surgery (from the first to second month after the trauma). We excluded patients who were under 12-year-old. All patients were visited at 1 week, 4 weeks, 12 weeks, and 6 months after surgery. In each visit, patients were examined regarding visual acuity, intraocular pressure (IOP), anterior chamber inflammation, IOL position, and posterior synechiae. In addition, posterior segment evaluation and fundoscopy were performed. Intraoperative complication including posterior capsular rupture, anterior vitrectomy, and zonulysis as well as the site of IOL implantation were documented and post-operative complications including raised IOP, anterior chamber inflammation, visual axis opacity, posterior synechiae, subluxation of IOL, and IOL pigment deposition were listed.ResultsBest-corrected visual acuity 6 months after surgery was not different between the two groups. Also in early cataract surgery group, the rate of posterior capsular rupture was not significantly higher than the late surgery group (P=0.069). On the other hand, zonulysis was significantly higher in the late procedure group (P=0.039). Other complications including anterior vitrectomy, raised IOP, anterior chamber inflammation, visual axis opacity, posterior synechiae, subluxation of IOL, and IOL pigment deposition were not different in the two groups.ConclusionsEarly and late traumatic cataract surgery and IOL implantation after open globe injuries, have no significant difference regarding the post-surgical BCVA and prominent intraoperative and post-operative complications.

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Early and late complications of ocular burn injuries

Cited by 45 publications

References 11 publications

Clinical Characteristics of Patients Hospitalized for Ocular Chemical Injuries in Shanghai from 2012 to 2017

Clinical Characteristics of Patients Hospitalized for Ocular Chemical Injuries in Shanghai from 2012 to 2017

Tränenwegstenosen durch Verätzungen und Verbrennungen

Early versus late traumatic cataract surgery and intraocular lens implantation

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