The frequency of chemical injuries of the eye in a tertiary referral centre

Radosavljević, Aleksandra; Kalezić, Tanja; Golubović, S

doi:10.2298/sarh1310592r

Cited by 6 publications

(11 citation statements)

References 15 publications

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“…Our study raised a frequency of <0.5%, compared to higher reported percentages, ranging from 3% to 10% [4,14,17,18,23,24,25]. Furthermore, the mean prognosis (2.4 ± 1.4 days) was also lower compared to other studies, where values ranging from three days to more than two weeks have been reported [26,27,28]. All of these differences seem rather encouraging, and in conjunction with the lower proportion of work-related accesses to the OED, they support the hypothesis of a lower occupational eye risk occurring in the province of Modena.…”

Section: Discussioncontrasting

confidence: 77%

Work-Related Eye Injuries: A Relevant Health Problem. Main Epidemiological Data from a Highly-Industrialized Area of Northern Italy

Gobba

Dall'Olio

Modenese

et al. 2017

IJERPH

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The province of Modena is one of the most industrialized areas of Northern Italy. The medical records of the Ophthalmological Emergency Department (OED) of Modena University Hospital were studied: there were 13,470 OED accesses in 2014 and in 754 cases that an occupational eye injury occurred. The frequency of work-related eye injuries (3‰) was lower compared to other published studies, but the absolute number is still relevant, showing the need for more adequate prevention, especially in metal work, construction work, and agriculture, where the worst prognoses were observed. Intervention programs must be implemented as early as possible in the working life, considering that the frequency in younger workers is about double that of the oldest age class (3.5‰ vs. 1.8‰), and special attention should also be given to foreigners, who have a 50% higher injury risk. Furthermore, the planning of specific interventions for eye-injured workers may be useful, considering that a previous injury does not appear to encourage the adoption of preventive interventions, and a subgroup of eye-injured workers have a potential risk for new injuries. Finally, the data presented here indicates how OED records, integrated with specific occupational information, can be applied for studies on work-related eye injuries.

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Section: Discussioncontrasting

confidence: 77%

Work-Related Eye Injuries: A Relevant Health Problem. Main Epidemiological Data from a Highly-Industrialized Area of Northern Italy

Gobba

Dall'Olio

Modenese

et al. 2017

IJERPH

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“…Binocular injuries were recorded in 24.5% of patients in our study. Radosavljevic et al 28 found that binocular injuries occurred in 36.5% of patients, while Saini et al 29 reported 42.1% of patients with bilateral damage.…”

Section: Discussionmentioning

confidence: 99%

“…We found that 40% of all chemical injuries were severe (grade III and IV) injuries, compared to 60.8% in one study. 28 …”

Section: Discussionmentioning

confidence: 99%

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Demographic, Clinical Profile and Management Outcomes of Ocular Chemical Injuries in Saudi Children

Al-Ghadeer¹,

Amry²,

Aldihan³

et al. 2022

OPTH

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Background Eye injuries in children due to chemicals constitute a medical emergency since they result in severe ocular damage. Objective To determine the factors and management outcomes of chemical burns in the eyes of Saudi children. The study was performed at a tertiary eye center in the Kingdom of Saudi Arabia. Methods Children aged 16 years and under who had ocular chemical burns from 2009 to 2021 were enrolled in a single-armed cohort study. Data collection was done on patient demographics, injury type, and previous treatment. A modified Roper-Hall classification was used to grade the ocular injuries. The research study revealed the outcome to be best-corrected visual acuity (BCVA), one year after presentation and management. Results This study included 185 eyes from 147 children with chemical burns. The main profile of this study comprised the following categories: male (72.1%), grade 4 injury (27.6%), injury by acid (57.1%), burns at home (66%), and first aid was given to (35.4%) of the children. One year after treatment, there were 58 (31.4%) eyes with BCVA from 20/20 to 20/60, 31 cases (16.8%) with BCVA from 20/60 to 20/200, and 86 (46.5%) cases with severe visual impairment (SVI). Treatments included the release of symblepharon in 34 (18.4%) eyes and amniotic membrane transplantation (AMT) in 27 (14.6%) eyes. Poor visual outcomes were correlated with chemical burn severity (RR = 1.45, P =0.04). First aid administration ( P = 0.86) and type of chemical (acid vs non-acid) ( P = 0.83) did not differ significantly in association with SVI at the one-year follow-up. Conclusion Visual outcomes of chemical burns in children were not promising even after one year of treatment. Public health initiatives are critical to prevent chemical burns in mitigating the poor visual prognosis.

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“…The surgery requirement occurred in 46 eyes with mostly (87.8%) grade 4 or higher grades during the follow-up period. Amniotic membrane transplantation (16 ). The relationship between injury grade and LSCD formation was statistically significant (P,0.001) (Table 3).…”

Section: Resultsmentioning

confidence: 99%

Clinical Characteristics and Severity Distribution of Tertiary Eye Center Attendance by Ocular Chemical Injury Patients

Akgun

Palamar

Eğrilmez

et al. 2022

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

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Objectives: To report demographic characteristics, types and grades of injury, regional distribution of injury severity, clinical findings, and longterm results of acute ocular chemical burns. Methods: Medical records of patients with chemical burns between 2010 and 2020 who were admitted to Ege University less than 72 hr after the injury were reviewed. Age, gender, cause of the burn, injury severity, initial and final best-corrected visual acuity, surgical intervention, and complications were recorded. The injury severity was graded according to Dua classification. Results: A total of 104 patients (137 eyes) were included. The mean age was 42.69617.39 (7-90) years with a male-to-female ratio of 86:18. The most common causes were home (32.6%) and industrial accidents (45.1%). The causative agent percentages for alkaline, acid, and neutral were 49.0%, 35.5%, and 5.7%, respectively. The percentages of eyes in each grade (1-6) were 16.0%, 16.0%, 15.3%, 16.7%, 17.5%, and 18.2%, respectively. Complications mostly occurred in eyes with grade 2 or higher injuries (83.7%). The relationship between injury grade and limbal stem-cell deficiency was statistically significant (P,0.001). Surgery was mostly needed in grade 4 or higher injuries (44 eyes). Conclusion:The severity of the burn is one of the most important prognostic factors in chemical burns. It is important to determine the spreading of the regional injury severity beside the global one to predict complication risk of the injuries. In the present study, the injury distribution was homogeneous in all grades. Limbal stem-cell deficiency development took place mostly in grade 5 and 6 burns as expected.

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The frequency of chemical injuries of the eye in a tertiary referral centre

Abstract: Chemical injuries are relatively common problem in the Emergency Ophthalmology. Constant education and usage of adequate protective equipment should be advised in order to prevent serious complications.

Cited by 6 publications

References 15 publications

Work-Related Eye Injuries: A Relevant Health Problem. Main Epidemiological Data from a Highly-Industrialized Area of Northern Italy

Work-Related Eye Injuries: A Relevant Health Problem. Main Epidemiological Data from a Highly-Industrialized Area of Northern Italy

Demographic, Clinical Profile and Management Outcomes of Ocular Chemical Injuries in Saudi Children

Clinical Characteristics and Severity Distribution of Tertiary Eye Center Attendance by Ocular Chemical Injury Patients

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