Abstract
The epidemiology and wound healing following medical and surgical treatment of 101 patients with 131 severely burnt eyes due to chemical or thermal agents have been analyzed. Most of the accidents occurred at work (72.3%); the majority of the burns were chemical (84.2%), of which 79.8% were caused by alkalis. The long average duration of treatment on ward (5.2 ± 4.1 months) and the high number of surgical interventions (8.0 ± 8.0) indicate the difficulties in treatment and the delayed recovery of the affected eyes. Despite improved possibilities of immuno-suppression after keratoplasty (cyclosporin A) and new methods of surgery (Tenon plasty), the possibilities of an optical rehabilitation are still limited. A visual acuity of 6/60 or better was achieved in 39 eyes (32.2%). Immediate irrigation was reported in 56.1% of accidents at the place of work and in 42.8% of accidents sustained at home. There was a significant difference with respect to the extent of damage, the treatment on ward and the number of surgical interventions. The visual prognosis for eyes which received immediate irrigation was significantly improved. Eye protection was not used in any of the 101 cases. Spread of information is necessary for adequate emergency care for eye burns as well as for permanent employment of protective glasses in high-risk occupations.
References
Burns FR, Paterson CA (1989) Prompt irrigation of chemical eye injuries may avert severe damage. Occup Health Safety 58:33–36
Gasset A, Kaufmann HE (1968) Epikerathoprosthesis. Am J Ophthalmol 66:641
Grant WM (1986) Toxicology of the eye, 3rd edn. C.C. Thomas, Springfield, Ill., pp 4–7, 995–997
Jones NP, Hayward JM, Khaw PT, Claoue CMP, Wilkington AR (1986) Function of an ophthalmic ‘accident and emergency’ department: results of a six month survey. Br Med J 292:188–190
Kenyon K, Berman M, Rose J, Gage J (1979) Prevention of stromal ulceration in the alkali burnt rabbit cornea by glued-on contact-lens. Invest Ophthalmol Vis Sci 18:570–587
Kersjes MP, Reifier DM, Maurer JR, Trestail JH, McCoy DJ (1987) A review of chemical eye burns referred to the Blodgett Regional Poison Center. Vet Hum Toxicol 29:453–455
Lambah P (1962) Some common causes of eye injury in the young. Lancet 1351–1353
Liggett PE (1990) Ocular trauma in an urban population. Ophthalmology 97:581–584
MacEwen CJ (1989)Eye injuries: a prospective survey of 5,671 cases. Br J Ophthalmol 73:888–894
McCulley JP (1983) Chemical injuries. In: Smolin G, Thoft RA (eds) The cornea. Little, Brown and Company, Boston Toronto, pp 422–435
Morgan SJ (1987) Chemical burns of the eye: causes and management. Br J Ophthalmol 71:854–857
Pfister RR (1983) Chemical injuries of the eye. Ophthalmology 90:1246–1253
Reim M (1990) Ein neues Behandlungskonzept für schwere Veratzungen und Verbrennungen der Augen. Klin Monatsbl Augenheilkd 96:1–5
Reim M, Teping C (1989) Surgical procedures in the treatment of severe eye burns. Acta Ophthalmol (Suppl) 67:47–54
Reim M, Bahrke C, Kuckelkorn R, Kuwert T (1993) Investigation of enzyme activities in severe burns of the anterior eye segment. Graefes Arch Clin Exp Ophthalmol 231:308–312
Reim M, Overkämping B, Kuckelkorn R (1993) 2jährige Erfahrung mit der Tenonplastik. Ophthalmologe 89:524–530
Schrage N, Redbrake C, Kuckelkorn R, Reim M (1991) Computergestützte Datenerfassung zur Dokumentation und Verlaufsbeobachtung bei schwersten Veratzungen des vorderen Augenabschnittes. Sitzungsbericht 153. Versammlung Rheinisch-Westfälischer Augenärzte, pp 71–77
Stanley JA (1965) Strong alkali burns of the eye. N Engl J Med 273:1265–1266
Teping C, Reim M (1989) Die Tenonplastik als neues Operationsprinzip in der Frühbehandlung schwerster Veratzungen. Klin Monatsbl Augenheilkd 194:1–5
Wright P (1982) The chemically injured eye. Trans Ophthalmol Soc UK 102:85–87
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Kuckelkorn, R., Kottek, A., Schrage, N. et al. Poor prognosis of severe chemical and thermal eye burns: the need for adequate emergency care and primary prevention. Int. Arch Occup Environ Heath 67, 281–284 (1995). https://doi.org/10.1007/BF00409410
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DOI: https://doi.org/10.1007/BF00409410