Diagnosis and Treatment of Ocular Burns

Article Sidebar

Published: Aug 22, 2020
Keywords:
alkali, acid, chemical burns, thermal burns, radiation

Main Article Content

Diptha Renggani Putri
Program Studi Profesi Dokter, Fakultas Kedokteran, Universitas Lampung
Rani Himayani
Departemen Ilmu Penyakit Mata, Rumah Sakit Dr. H. Abdoel Moeloek – Fakultas Kedokteran, Universitas Lampung

Abstract

Introduction: Chemical eye burns, thermal burns, and radiation represent cases that often occur in cases in the emergency department in the eye area. Exposure to body fluids and cyanoacrylates (super glue) also often occur. These conditions if not followed up quickly will result in a poor prognosis.


Objective: To determine the initial diagnosis and treatment of eye burns.


Method: This article was created using the literature review method, involving 22 libraries both national and international books and journals.


Results: Chemical burns represent the most frequent and potentially blind eye injury, this is an eye emergency that requires immediate treatment and starting treatment. The majority of victims are young and exposure can occur at home, work and can also be related to crime.


Discussion: Alkaline injuries occur more frequently than acid injuries. Chemical injury to the eye results in extensive damage to the surface epithelium of the eye, cornea, anterior segment, and stem cells resulting in unilateral or bilateral permanent vision damage. Rapid and appropriate management is perhaps the most important factor in determining the final outcome.


Conclusion: This article reviews emergency management and new techniques for improving the prognosis of patients with eye burn injuries.


 


Keywords: Acid, alkali, chemical burns, thermal burns, eyes, radiation.

Article Details

Issue
Vol 8 No 2 (2020): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia 8.2 Maret - Agustus
Section
Article Review

References

1. Bates A, Zanaboni A. Ocular Burns. Treasure Island (FL): StatPearls Publishing; 2020. 1 p.
2. Gupta N, Singh A, Mathur U. Scleral Ischemia in Acute Ocular Chemical Injury: Long-Term Impact on Rehabilitation With Limbal Stem Cell Therapy. Cornea. 2019 Feb;38(2):198–202.
3. Mashige K. Chemical and thermal ocular burns: a review of causes , clinical features and management protocol. South African Fam Pract [Internet]. 2016;58(1):1–4. Available from: http://dx.doi.org/10.1080/20786190.2015.1085221
4. Haring RS, Sheffield ID, Channa R, Canner JK, Schneider EB. Epidemiologic Trends of Chemical Ocular Burns in the United States. JAMA Ophthalmol. 2016 Oct;134(10):1119–24.
5. VanHoy TB, LeWitt MH, Metheny H, Patel BC. Chemical Burns. Treasure Island (FL): StatPearls Publishing; 2020. 1 p.
6. Andreea G, Mihaela-cristina A, Daniela MA, Maria IS, Maria-magdalena D, Constantin LD. Periorbital lesions in severely burned patients. Rom J Ophthalmol. 2019;63(1):38–55.
7. Yasin J, Fisseha R, Mekonnen F, Yirdaw K. Occupational exposure to blood and body fluids and associated factors among health care workers at the University of Gondar Hospital , Northwest Ethiopia. Environ Health Prev Med. 2019;244(18):1–9.
8. Jijelava K, Le H, Parker J, Ms JY. Getting Hooked: A Simple Technique for The Treatment of Adhesive Injuries to The Eyelids. J Emerg Med. 2017;52(1):74–6.
9. Reschke D. Ocular Burns and Exposures. In: Handbook of Emergency Ophthalmology. New York: Springer International Publishing; 2018. p. 211–22.
10. Struck H-G. Chemical and Thermal Eye Burns. Klin Monbl Augenheilkd. 2016 Nov;233(11):1244–53.
11. Atley K, Ridyard E. Treatment of hydrofluoric acid exposure to the eye. Int J Ophthalmol. 2015;8(1):157–61.
12. Fitzgerald O’Connor E, Frew Q, Din A, Pleat J, Ashraff S, Ghazi-Nouri S, et al. Periorbital burns - a 6 year review of management and outcome. Burns. 2015 May;41(3):616–23.
13. Hegmann KT, Biggs JJ, Hegmann K, Hughes MA, Fix D, Schwei KA. Eye Disorders. United States; 2017. p. 1–675.
14. Willmann G. Ultraviolet Keratitis: From the Pathophysiological Basis to Prevention and Clinical Management. High Alt Med Biol. 2015;16(4):277–82.
15. CDC. Blood / Body Fluid Exposure Option. Georgia; 2013.
16. Liu Z, Lim YT, Leong KFM. Inadvertent tissue adhesive tarsorrhaphy of the eyelid: a review and exploratory trial of removal methods of Histoacryl. Emerg Med J. 2020 Apr;37(4):212–6.
17. Baradaran-Rafii A, Eslani M, Haq Z, Shirzadeh E, Huvard MJ, Djalilian AR. Current and Upcoming Therapies for Ocular Surface Chemical Injuries. Ocul Surf. 2017 Jan;15(1):48–64.
18. Chang IT, Prendes MA, Tarbet KJ, Amadi AJ, Chang S, Shaftel SS. Ocular injuries from fi reworks : the 11-year experience of a US level I trauma center. Eye. 2016;30(Oct):1324–30.
19. Iyer G, Srinivasan B, Agarwal S. Algorithmic approach to management of acute ocular chemical injuries-I’s and E’s of Management. Ocul Surf. 2019 Apr;17(2):179–85.
20. Sarabahi S, Kanchana K. Management of ocular and periocular burns. Indian J Burn. 2014;22:22–32.
21. Eslani M, Baradaran-rafii A, Movahedan A, Djalilian AR. The Ocular Surface Chemical Burns. J Ophthalmol. 2014;2014:1–9.
22. Wade RG, Peacock D. Bilateral eye irrigation: a simple and effective hands-free technique. Eur J Emerg Med. 2014 Aug;21(4):305–7.