关键词: Chemical burns Ocular burns Periocular burns Thermal burns Trauma

Mesh : Humans Male Female Adolescent Young Adult Adult Middle Aged Eye Burns / epidemiology etiology therapy Burns, Chemical / epidemiology etiology therapy Tertiary Care Centers Corneal Injuries Conjunctiva

来  源:   DOI:10.1016/j.bjps.2022.10.049

Abstract:
OBJECTIVE: Ocular burns are ophthalmic emergencies that can cause devastating injuries. This study aimed to analyze the epidemiology, complications, and management of ocular-periocular burns.
METHODS: A total of 193 patients with ocular-periocular burns were admitted to our tertiary hospital from January 2018 to December 2020. The demographic characteristics of the patients, injury variables, complications, and treatments were evaluated.
RESULTS: There were 142 male (73.6%) and 51 female (26.4%) patients with a mean age of 32.53±17.75 years. The average total body surface area was 12% (range, 1-80%). Injuries were most common at work (52.3%) and home (36.3%). Thermal burns were the most common injuries (74.6%), followed by chemical (14.5%) and electrical burns (10.9%). Alkaline agents (75.0%), mainly sodium hydroxide and lime, were common in chemical burns. Superficial lid burns were significantly higher in the thermal group (p < 0.001), and grade III-IV corneal burns were significantly higher in the chemical group (p < 0.001). Various complications were developed in 50 (13%) eyes. Medical treatment only was performed in 318 (82.4%) eyes, and additional surgical treatment was performed in 64 (17.6%) eyes; however, 54 (14.0%) underwent more than one surgery. The most common complications were corneal scars (7.3%), limbal deficiency (4.1%), and ectropion (3.9%). The most frequent procedures performed were amniotic membrane transplantation (AMT) (11.9%) and tarsorrhaphy (6.7%).
CONCLUSIONS: Chemical burns, limbal and conjunctival ischemia, and full-thickness eyelid defects had a poor prognosis. The degree of limbal deficiency and ınjury of intraocular structures were found to have a great influence on the outcome of their visual acuity.
摘要:
目的:眼部烧伤是眼科急症,可造成毁灭性损伤。本研究旨在分析流行病学,并发症,和眼周烧伤的处理。
方法:2018年1月至2020年12月,我院收治眼周烧伤患者193例。患者的人口统计学特征,伤害变量,并发症,和治疗进行了评估。
结果:男性142例(73.6%),女性51例(26.4%),平均年龄32.53±17.75岁。平均总表面积为12%(范围,1-80%)。受伤在工作(52.3%)和家庭(36.3%)中最常见。热烧伤是最常见的伤害(74.6%),其次是化学烧伤(14.5%)和电烧伤(10.9%)。碱性剂(75.0%),主要是氢氧化钠和石灰,在化学烧伤中很常见。热治疗组的眼睑浅部烧伤明显高于对照组(p<0.001),和III-IV级角膜烧伤在化学组明显更高(p<0.001)。50只(13%)眼出现各种并发症。仅在318只(82.4%)眼进行了药物治疗,对64只(17.6%)眼进行了额外的手术治疗;然而,54例(14.0%)接受了一次以上的手术。最常见的并发症是角膜疤痕(7.3%),角膜缘缺乏(4.1%),外翻(3.9%)。最常见的手术是羊膜移植(AMT)(11.9%)和tarsorraphhy(6.7%)。
结论:化学烧伤,角膜缘和结膜缺血,全层眼睑缺损预后不良。发现角膜缘缺陷和眼内结构损伤的程度对其视力的结果有很大影响。
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