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Chapter-13 Chemical Burns of the Eye

BOOK TITLE: Surgical Techniques in Ophthalmology: Corneal Surgery

Author
1. Maskati Quresh B
ISBN
9788184488579
DOI
10.5005/jp/books/11369_13
Edition
1/e
Publishing Year
2010
Pages
5
Author Affiliations
1. Maskati Eye Clinic, Mumbai, India, Maskati Eye Clinic Andheri (W) Opp. Charni Railway Station Mumbai - 400002, India, Maskati Eye Clinic, Mumbai 111/112, Summerville B. Desai Road, Mumbai 400026
Chapter keywords
chemical burns of the eye, stem cells, amniotic membrane transplant, keratoprosthesis, autohemotherapy, post-burns corneal problems

Abstract

The incidence of chemical injuries has been forever on the rise. Causes range from industrial and agricultural accidents, domestic accidents, assaults and chemical warfare. Uncommon causes are self-inflicted injuries and improper use of drugs. The eye is exposed to a wide variety of chemicals of diverse nature, either by accident or design. The injuries so caused vary considerably, from the most trivial causing transient irritation to the most severe, causing complete loss of integrity of the visual apparatus. The protective mechanisms of the eye are generally of not much help in these types of injuries. The bony orbit protects against large size objects, but offers no barrier to liquids and gases. The eyelids may suffer extensive damage themselves in case of chemical injury. Liquids mix with tears and spread rapidly, extending the area of contact. The most common types of chemicals are acids and alkalis. Recent advances in therapy include stem cells, amniotic membrane transplant (AMT), and keratoprosthesis. Early use of cheaply and freely available treatments such as topical vitamin C and autohemotherapy can reduce morbidity. Modern methods of managing post-burns corneal problems such as AMT, stem cell transplant and finally keratoprosthesis have considerably improved overall prognosis in these patients.

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