Physical and chemical injuries to eyes and eyelids

Pargament, Jonathan M.; Armenia, Joseph; Nerad, Jeffrey A.

doi:10.1016/j.clindermatol.2014.10.015

Cited by 45 publications

(39 citation statements)

References 8 publications

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“…Chemical injuries to the eye can produce extensive damage to the ocular surface and anterior segment, leading to visual impairment and disfigurement. Early recognition and treatment ensures the best possible outcome for this potentially blinding condition (3).…”

Section: Discussionmentioning

confidence: 99%

Conjunctival limbal autograft combined with amniotic membrane transplantation for the treatment of a moderate chemical eye injury

Çankaya¹

2019

Beyoglu Eye J

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A 25-year-old male patient presented at the clinic with chemical trauma to the left eye. His visual acuity according to Snellen chart measurement was 0.05/10 in the left eye and 10/10 in the right eye. On slit lamp examination, conjunctival hyperemia and limbal ischemia were observed between the 1 o'clock and 6 o'clock hours (approximately 5 clock hours). The cornea was edematous in this area, and a corneal epithelial defect adjacent to the limbal ischemia area was present. The anterior chamber, iris, and lens were normal; the fundus could not be concurrently evaluated. Conjunctivalization and excessive neovascularization were observed in the limbal ischemic area at the end of the fourth week of medical treatment. Visual acuity in the left eye was 0.3 and the epithelial defect had healed. At the end of the sixth week, a conjunctival limbal autograft (CLAU) combined with amniotic membrane (AM) transplantation surgery was performed. Subsequently, the corneal neovascularization was noted to have completely vanished in the ischemic area where the CLAU and AM transplantation were performed. Visual acuity improved to 0.7 and the symptoms of the patient decreased.

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Section: Discussionmentioning

confidence: 99%

Conjunctival limbal autograft combined with amniotic membrane transplantation for the treatment of a moderate chemical eye injury

Çankaya¹

2019

Beyoglu Eye J

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“…While the globe is protected in the majority of cases due to the reflex closure of eyelids, they may be involved in more severe burns. [45]…”

Section: Discussionmentioning

confidence: 99%

Proposal of a new classification scheme for periocular injuries

Mohapatra

Thiruvoth

Chittoria

et al. 2017

Indian J Plast Surg

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Background:Eyelids are important structures and play a role in protecting the globe from trauma, brightness, in maintaining the integrity of tear films and moving the tears towards the lacrimal drainage system and contribute to aesthetic appearance of the face. Ophthalmic trauma is an important cause of morbidity among individuals and has also been responsible for additional cost of healthcare. Periocular trauma involving eyelids and adjacent structures has been found to have increased recently probably due to increased pace of life and increased dependence on machinery. A comprehensive classification of periocular trauma would help in stratifying these injuries as well as study outcomes.Material and Methods:This study was carried out at our institute from June 2015 to Dec 2015. We searched multiple English language databases for existing classification systems for periocular trauma. We designed a system of classification of periocular soft tissue injuries based on clinico-anatomical presentations. This classification was applied prospectively to patients presenting with periocular soft tissue injuries to our department.Results:A comprehensive classification scheme was designed consisting of five types of periocular injuries. A total of 38 eyelid injuries in 34 patients were evaluated in this study. According to the System for Peri-Ocular Trauma (SPOT) classification, Type V injuries were most common. SPOT Type II injuries were more common isolated injuries among all zones.Discussion:Classification systems are necessary in order to provide a framework in which to scientifically study the etiology, pathogenesis, and treatment of diseases in an orderly fashion. The SPOT classification has taken into account the periocular soft tissue injuries i.e., upper eyelid, lower eyelid, medial and lateral canthus injuries., based on observed clinico-anatomical patterns of eyelid injuries.Conclusion:The SPOT classification seems to be a reliable system to address eyelid injuries. This classification scheme would guide the ophthalmic and facial reconstructive surgeons to provide optimal outcomes in eyelid injuries. Based on the classification scheme and review of existing literature, an algorithm is presented to facilitate repair and reconstruction.

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“…26 Approximately 15% to 20% of facial burns involve the eye, 27 and ocular injury stands as the second leading cause of visual impairment in the United States after cataracts. 26 Similar to dermal chemical injuries, alkali exposures are more common and generally cause deeper and more serious tissue damage than acid. Common offending agents in the household include automobile batteries, pool cleaners, detergents, ammonia, bleach, and drain cleaners.…”

Section: Chemical Injuriesmentioning

confidence: 99%

“…Profound dermal injury may result in cicatricial ectropion, which often requires tarsorrhaphy or excision and full-thickness skin grafting. 26 …”

Section: Chemical Injuriesmentioning

confidence: 99%