Emergency Treatment & Management of Ocular Burns in Tehran Clinics



Sedaghat M¹ ; Nezamdoust Z² ; Vaseie M³ Show Affiliations
Source: International Journal of Pharmacy and Technology Published:2016

Abstract

Chemical or thermal eye burns account for a significant fraction of ocular trauma. The speed at which initial irrigation of the eye begins, has the mostinfluence on the prognosis of eye burns. Water is mostly recommended as an irrigation fluid. However, water is hypotonic to the corneal stroma. The osmolarity gradient causes an increased water influx into the cornea and the invasion of the corrosive substance into deeper corneal structures. So we recommend higher osmolarities for the initial rinsing to mobilize and the dissolved corrosives out of the burnt tissue. General systems such as amphoteric solutions, which have an unclear binding with bases and acids, afford a convenient answer for emergency neutralisation. Both conventional anti-inflammatory therapy and early surgical intermediation are important to decrease the inflammatory response of the burnt tissue. In most severe eye burns, tenonplasty re-establishes the conjunctival apparent and limbal vascularity and avoids anterior section necrosis. © 2016, International Journal of Pharmacy and Technology. All rights reserved.