Abstract
Some anatomical and physiological review allows a better understanding of the early signs following an ocular chemical splash. The importance of perilimbal ischemia in the establishment of an initial severity prognosis is emphasized according to the Ropper Hall classification into 4 distinct grades. Edema and corneal ulcerations are illustrated by photographs taken during the author's daily practice. The clinical ocular examination is detailed both at the initial stage and during the course of the burn evolution. These render possible a pragmatic classification between benign lesions and severe lesions involving both the external and internal structures of the eye. This chapter is fundamental for understanding the ultimate therapeutic aspects, notably surgical.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsNotes
- 1.
These two schemas are from the book: Pratique Ophtalmologique pour le Médecin généraliste M. Gerard, PH Dalens, E Denion, P Huguet, ISBN no 2-9521800-0-8) edited by l’ADOG chapter “Anatomy” written by E. Denion (www.adog973.org).
Bibliography
Beare, J.D.L.: Eye injuries from assault with chemicals. Br J Ophthalmol 74, 514–518 (1990)
Branday, J., Arscott, G.D.L., Smoot, E.C., Williams, G.D., Fletcher, P.R.: Chemical burns as assault injuries in Jamaica. Burns 22, 154–155 (1996)
Burns, F.R., Paterson, C.A.: Chemical injuries: Mechanisms of corneal damage and repair. In: Beuerman, R.W., Crosson, C.E., Kaufman, H.E. (eds.) Healing Processes in the Cornea. Advances in Applied Biotechnology Series, vol. 1, pp. 45–58. Gulf, Houston (1989)
Gérard, M., Merle, H.: Une agression par projection de liquide au visage. Panorama du médecin 4422, 19 (1996)
Gérard, M., Merle, H., Domenjôd, M., Ayeboua, L., Richer, R., Jallot Sainte Rose, N.: Brûlures oculaires par bases. A propos de 6 cas. Ophtalmologie 10, 413–417 (1996)
Gérard, M., Merle, H., Chiambaretta, F., Louis, V., Richer, R., Rigal, D.: Technique chirurgicale de l’autotransplantation limbique dans les brûlures oculaires graves récentes. J Fr Ophtalmol 22(4), 502–506 (1999a)
Gérard, M., Merle, H., Ayeboua, L., Richer, R.: Etude prospective de 3 ans des brûlures oculaires par bases au C.H.U. de Fort de France. J Fr Ophtalmol 22(8), 834–847 (1999b)
Gérard, M., Louis, V., Merle, H., Josset, P., Menerath, J.M., Blomet, J.: Etude expérimentale sur la pénétration intra-oculaire de l’ammoniaque. J Fr Ophtalmol 22(10), 1047–1053 (1999c)
Gérard, M., Josset, P., Louis, V., Menerath, J.M., Blomet, J., Merle, H.: Existe-il un délai pour le lavage oculaire externe dans le traitement d’une brûlure oculaire par l’ammoniaque. Comparaison de deux solutions de lavage: sérum physiologique et Diphotérine®. J Fr Ophtalmol 23(5), 449–458 (2000)
Gérard, M., Merle, H., Chiambaretta, F., Rigal, D., Schrage, N.: An amphoteric rinse used in the emergency treatment of a serious ocular burn. Burns 28(7), 670–673 (2002)
Hugues Jr., W.F.: Alkali burns of the eye. Review of literature and summary of present knowledge. Arch Ophthalmol 35, 423–449 (1946a)
Hugues Jr., W.F.: Alkali burns of the eye. Clinical and pathological course. Arch Ophthalmol 36, 189–214 (1946b)
Kuckelkorn, R., Schrage, N., Keller, G., Redbrake, C.: Emergency treatment of chemical and thermal eye burns. Acta Ophthalmol Scand 80(1), 4–10 (2002)
Lagoutte, F.: Traumatismes et brûlures. In: Rigal, D. (ed.) L’épithélium cornéen. Rapport de la Société Française d’Ophtalmologie, pp. 210–214. Masson, Paris (1993)
Merle, H., Donnio, A., Ayeboua, L., Michel, F., Thomas, F., Ketterle, J., Leonard, C., Josset, P., Gérard, M.: Alkali ocular burns in Martinique (French West Indies). Evaluation of the use of an amphoteric solution as the rinsing product. Burns 31(2), 205–211 (2005)
Pouliquen, Y., Petroutsos, G.: Brûlures oculaires. In: Encycl. Méd. Chir. Ophthalmologie. Editions techniques. Paris, 21700 C10 (1983)
Ropper-Hall, J.: Thermal and chemical burns. Trans Ophthalmol Soc UK 85, 634–653 (1965)
Tseng, S.C.G.: Concept and applications of limbal stem cells. Eye 3(2), 141–157 (1989)
Wagoner, M.D., Kenyon, K.R.: Chemical injuries. In: Shingleton, B.J., Hersh, P.S., Kenyon, K.R., Topping, T.M., Woog, J.J. (eds.) Eye Trauma, pp. 107–114. Mosby, St Louis (1991)
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2011 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Gérard, M. (2011). The Clinical of Ocular Burns. In: Chemical Ocular Burns. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-14550-6_7
Download citation
DOI: https://doi.org/10.1007/978-3-642-14550-6_7
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-14549-0
Online ISBN: 978-3-642-14550-6
eBook Packages: MedicineMedicine (R0)