Management of Chemical Ocular Injuries in Pediatric Patients

Shieh, Christine; Kim, Terry

doi:10.1007/978-1-4939-2745-6_16

Cited by 1 publication

(4 citation statements)

References 33 publications

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“…Early management of ocular chemical injury is crucial and challenging in the pediatric population. 10,29 Children may not be aware of the significance of the injury. In addition, they usually have difficulty expressing their symptoms in the acute phase of the trauma, which can lead to delayed treatment and consequently poor visual outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, they usually have difficulty expressing their symptoms in the acute phase of the trauma, which can lead to delayed treatment and consequently poor visual outcomes. 10 EL-Sebaity et al 13 reported that only 31.3% of pediatric ocular traumas received medical care on the first day of the incident and 24.7% presented after 3 days or more. In this article, 45.4% of children presented within the first day of the chemical injury.…”

Section: Discussionmentioning

confidence: 99%

“…[7][8][9] Furthermore, accurate diagnosis and management of ocular chemical burns are more challenging in the pediatric age. 10 Therefore, delayed medical and surgical treatment results in poor visual and anatomical outcomes. 11 Variable and limited data regarding demographic and clinical characteristic of pediatric ocular chemical burns have been reported in the literature.…”

mentioning

confidence: 99%

“…7–9 Furthermore, accurate diagnosis and management of ocular chemical burns are more challenging in the pediatric age. 10 Therefore, delayed medical and surgical treatment results in poor visual and anatomical outcomes. 11…”

mentioning

confidence: 99%

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Ten Years of Pediatric Ocular Chemical Burn Experience in a Tertiary Eye Care Center in Turkey

Korkmaz

Palamar

Eğrilmez

et al. 2021

Eye &Amp; Contact Lens: Science &Amp; Clinical Practice

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Objectives: To report 10 years of pediatric ocular chemical burn experience in a tertiary eye care center in Turkey. Methods: Thirty-three patients aged 18 years and younger who presented with ocular chemical burn between 2011 and 2021 were enrolled. Demographic data and clinical characteristics of patients were reviewed. Limbal stem cell deficiency (LSCD) stage was assessed according to LSCD working group's staging system. The initial and final best-corrected visual acuities were recorded. Results: The mean age was 10.465.5 (0.25-18) years with an F/M ratio of 12/21. Eleven (33.3%) of the patients were injured with acid and 5 (15.1%) with alkaline. The most common causative agent was nail polish remover (n¼7, 21.2%), followed by cologne (n¼5, 15.1%) and hand sanitizer (n¼4, 12.1%). The severity of burn was $grade 4 in 20 patients (60.6%). Chemical injury resulted in LSCD in 18 patients (54.5%). Surgery was performed (LSCD $Stage 2 B) in 13 patients (39.3%); limbal stem cell transplantation (LSCT) (n¼11), staged amniotic membrane transplantation, and symblepharon release (n¼2). Penetrating keratoplasty after LSCT was performed in three of 11 patients. The mean follow-up time was 31.9628.6 months (6-102.33) after the surgery. Conclusions: In pediatric population, accurate diagnosis and management of ocular chemical burns are challenging. Although the severity of burn and consequently LSCD rate seems to be high in children, comparative studies in a larger population are still needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%