PDF(Pubmed)
Abstract：
Ocular burns can have three origins: chemical (by acid or alkaline agents), luminous (by ultraviolet radiation) or thermal. We report the cases of eight patients with ocular burns (3 thermal and 5 chemical). Of these, one patient had a grade 2 burn according to the Dua classification, two had grade 3 damage and one had grade 4. One patient had grade 3 damage in the right eye and grade 4 in the left eye. Anterior segment optical coherence tomography (AS-OCT) was performed in two patients, showing corneal de-epithelialization, corneal thickening and a hyper-reflective line in the posterior stroma. All patients received medical treatment with topical antibiotics, topical corticosteroids, cycloplegics and wetting agents. Five patients had outpatient treatment with clinical improvement. Three patients were hospitalized, one of whom received an amniotic membrane graft (AMG), one had an AMG followed by a transfixing keratoplasty (TK), and the other is scheduled for a TK. Ocular burns are associated with significant functional risk, warranting prompt and effective management.
摘要：
眼部烧伤可以有三个起源：化学（通过酸或碱性试剂），发光(通过紫外线辐射)或热。我们报告了8例眼烧伤患者（3例热烧伤和5例化学烧伤）。其中,根据Dua分类，一名患者有2级烧伤，两个有3级损伤，一个有4级损伤。一名患者的右眼损伤为3级，左眼损伤为4级。对两名患者进行了前段光学相干断层扫描（AS-OCT），显示角膜上皮去上皮化，角膜增厚和后基质中的高反射线。所有患者都接受了局部抗生素治疗，外用皮质类固醇,睫状体麻痹剂和润湿剂。5例患者经门诊治疗，临床好转。三名患者住院，其中一人接受了羊膜移植（AMG），一个人进行了AMG，然后进行了固定角膜移植术（TK），另一个被安排在传统知识上。眼部烧伤与显著的功能风险相关，保证及时有效的管理。
