The Management of Eyelid Burns

Malhotra, Raman; Sheikh, Ijaz; Dheansa, Baljit

doi:10.1016/j.survophthal.2009.02.009

Cited by 69 publications

(58 citation statements)

References 42 publications

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“…Closely related to EOO is the associated companion phenomenon of "delay to treatment" (DTT) which results in further propagation of the potentially preventable problem amidst many competing treatment priorities [8,[10][11][12][13][14][15]. In support of the latter argument, and in an attempt to prevent overall harm, it has been suggested that implementation of relatively simple protocols can help prevent most cases of EK in the ICU.…”

Section: Introductionmentioning

confidence: 99%

Exposure Keratopathy in the Intensive Care Unit: Do Not Neglect the Unseen

Bird¹,

Dingley²,

Stawicki³

et al. 2018

Vignettes in Patient Safety - Volume 2

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Exposure keratopathy (EK) is a frequently overlooked complication seen in nearly 60% of sedated or intubated intensive care unit (ICU) patients. Signs and symptoms of EK often start as mild subjective complaints of eye pain and irritation, but can progress to vision loss in the most severe cases. For many critically ill patients, the presence of sedation effectively precludes their ability to communicate clinical complaints typically associated with EK. This, combined with the potentially severe sequelae, makes EK a potentially preventable complication and a patient safety issue. Clinical management of EK can be challenging for both providers and patients due to the nature of treatment with eye drops and ointments as well as the burden and expense of associated procedural interventions. Risk factors for EK have been extensively described in the literature, and wider dissemination of this knowledge should facilitate education of physicians and nurses regarding EK prevention. The most common risk factors include lagophthalmos, chemosis, Bell's palsy, and congenital deformities. Additionally, critically ill patients are less likely to be promptly diagnosed due to the focus of staff on life-threatening problems over ocular prophylaxis. However, the potential severity of complications associated with EK mandates that prevention remains a crucial component of the care of at-risk patients. The reader will explore the broad category of adverse medical occurrences included under the umbrella term, "errors of omission" (EOO): an error category that is most likely to culminate in EK. The most critical preventive measure is education of health care providers, although this may not be enough by itself. To this end, universal precautions against EK in combination with education may be used to help combat the relatively high incidence of this easily preventable ocular pathology.

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Section: Introductionmentioning

confidence: 99%

Exposure Keratopathy in the Intensive Care Unit: Do Not Neglect the Unseen

Bird¹,

Dingley²,

Stawicki³

et al. 2018

Vignettes in Patient Safety - Volume 2

View full text Add to dashboard Cite

show abstract

“…Nine eyes (36%) suffered first-and second-degree eyelid burns according to the classification of thermal eyelid burns. [10] Seven eyes (28%) had ocular surface burns of grades 1 and 2 of the Roper-Hall classification system. [11] Ten patients (45%) suffered a combination of first-and second-degree burns of the head, face, extremities, and trunk.…”

Section: Resultsmentioning

confidence: 99%

Ocular trauma score in transferred fireworks-related ocular injuries: a case series

Liu

Huang²,

Jiang³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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AMAÇBu çalışmada amacımız, taşınan havai fişekle ilgili okü-ler hasar özelliklerini gözden geçirmek ve bu yaralanmalar için oküler travma skorunun (OTS) prognostik değeri-ni araştırmaktır. GEREÇ VE YÖNTEMBu çalışmaya, 22 taşınan hasta (19 erkek, 3 kadın; ortalama yaş, 22.6±14.9 yaş) (25 göz) alındı. Coğrafya özellik-leri, havai fişek tipleri, yaralanma durumu, terapötik prosedürler ve en iyi düzeltmiş görme keskinliği (BCVA) ile ilgili karakteristikleri içeren veriler geriye dönük değerlendiril-di. Yaralanan bütün gözler, ilk inceleme sırasında OTS kullanılarak sınıflandırıldı. BULGULARYirmi göz (%80) OTS kategori 1, üç göz (%12) OTS kategori 2 ve iki göz (%8) OTS kategori 3 olarak değerlendiril-di. Bütün olgular cerrahi tedavi aldı. Altı göz (%24) enükle idi, bunların dördünde (%16) son BCVA'larında bir düzel-me oldu. OTS kategori 1 ile diğer iki OTS kategorisi arasında son BCVA'da istatistiksel olarak anlamlı bir düzelme oldu (p=0,016). SONUÇTaşınan havai fişek ile ilişkili oküler yaralanma olguları, esas olarak genç erişkinler, erkekler ile aktif katılımcılar-da oluşmuş ve hepsi de ciddi görme kaybı ve körlüğe maruz kalmıştır. OTS, taşınan havai fişek ile ilişkili oküler yaralanmaların durumunun sınıflandırılmasında ve prognozunun tahmin edilmesinde oldukça etkindir.Anahtar Sözcükler: Havai fişek; oküler yaralanma; taşınma; skorlar; prognoz; oküler travma skoru (OTS). BACKGROUNDOur aim was to review the characteristics of transferred fireworks-related ocular damage and to evaluate the prognostic value of the ocular trauma score (OTS) for these injuries. METHODSThis study included 22 transferred patients (19 male, 3 female; mean age 22.6±14.9 years) (25 eyes). The data were retrospectively reviewed, including the characteristics of the geography, types of fireworks, status of injuries, therapeutic procedures, and the best-corrected visual acuity (BCVA). All the injured eyes were classified using the OTS at the time of the initial examination. RESULTSTwenty eyes (80%) were in OTS category 1, three eyes (12%) were in OTS category 2, and two eyes (8%) were in OTS category 3. All cases received surgical therapy. Six eyes (24%) were enucleated, four (16%) of which achieved an improvement in their final BCVA. There was a statistically significant improvement in final BCVA between OTS category 1 and the other two OTS categories (p=0.016). CONCLUSIONThe aforementioned transferred fireworks-related ocular injury cases occurred mainly in young adults, men and active participants, all of which incurred serious vision loss and blindness. The OTS is quite effective for classifying the status and estimating the prognosis of transferred fireworks-related ocular injuries.

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“…The details of initial inpatient management as well as the indications and techniques for surgery have been extensively discussed previously. 10 The number of patients with ocular burns has approximately doubled compared to a study conducted ten years earlier in the same centre. Similar to the previous study, this series demonstrated that initial corneal involvement was common (70.4%) but long-term corneal morbidity was infrequent (8.8%).…”

Section: Discussionmentioning

confidence: 98%