Ophthalmologic Approach to Chemical Burns Questions & Answers

Updated: Sep 18, 2018
  • Author: Mark Ventocilla, OD, FAAO; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Questions & Answers

Overview

What are the types of chemical burns to the eye?

Which factors affect the severity of chemical burns to the eye?

What is the pathophysiology of acid burns to the eye?

What is the pathophysiology of alkali burns to the eye?

What is the prevalence of chemical burns to the eye in the US?

What is the morbidity of chemical burns to the eye?

What are the racial predilections of chemical burns to the eye?

What are the sexual predilections of chemical burns to the eye?

Which age groups have the highest prevalence of chemical burns to the eye?

What is the prognosis of chemical burns to the eye?

How are chemical burns to the eye graded?

What is included in patient education about chemical burns to the eye?

Presentation

Which clinical history findings are characteristic of chemical burns to the eye?

What are the signs and symptoms of chemical burns to the eye?

What is included in the physical exam to assess chemical burns to the eye?

What is the clinical presentation of decreased visual acuity in chemical burns to the eye?

What causes increased intraocular pressure (IOP) in chemical burns to the eye?

What is the clinical presentation of conjunctival inflammation in chemical burns to the eye?

What is the clinical presentation of particles in the conjunctival fornices in chemical burns to the eye?

What is the clinical presentation of perilimbal ischemia in chemical burns to the eye?

What is the clinical presentation of corneal epithelial defect in chemical burns to the eye?

What is the clinical presentation of conjunctival epithelial defect in chemical burns to the eye?

What is the clinical presentation of stromal haze in chemical burns to the eye?

What is the clinical presentation of corneal perforation in chemical burns to the eye?

What is the clinical presentation of anterior chamber inflammatory reaction in chemical burns to the eye?

What is the clinical presentation of adnexal damage or scarring in chemical burns to the eye?

What are the common alkali sources of chemical burns to the eye?

What are the common acids sources of chemical burns to the eye?

What are primary complications of chemical burns to the eye?

What are the complications of chemical burns to the eye?

DDX

Which is the focus of the physical exam to assess chemical burns to the eye?

What are the differential diagnoses for Ophthalmologic Approach to Chemical Burns?

Workup

What is the role of lab testing in the evaluation of chemical burns in the eye?

Treatment

How are chemical burns to the eye treated?

What is the role of irrigation in the treatment of chemical burns to the eye?

How is ocular surface (epithelial) healing promoted following chemical burns to the eye?

How is inflammation reduced following chemical burns to the eye?

How are infections prevented following chemical burns to the eye?

How is increased intraocular pressure (IOP) treated following chemical burns to the eye?

How is pain managed following chemical burns to the eye?

What is the role of surgery in the treatment of chemical burns to the eye?

How is an inciting chemical removed from the eye?

Which surgical treatments are used to promote ocular surface healing following chemical burns to the eye?

What is the role of stem cells in the treatment of chemical burns to the eye?

What is the role of cyanoacrylate tissue adhesive in the treatment of chemical burns to the eye?

What is the role of visual rehabilitation in the treatment of chemical burns to the eye?

What is the role of surgery in the treatment of increased intraocular pressure (IOP) following chemical burns to the eye?

Which specialist consultations are beneficial to patients with chemical burns to the eye?

How are chemical burns to the eye prevented?

What is included in the long-term monitoring of patients with chemical burns to the eye?

When is inpatient care indicated in the treatment of chemical burns to the eye?

Which medications are used in the treatment of chemical burns to the eye?

When is patient transfer indicated for the treatment of chemical burns to the eye?

Medications

What is the role of drug treatment for chemical burns to the eye?

Which medications in the drug class Topical corticosteroids are used in the treatment of Ophthalmologic Approach to Chemical Burns?

Which medications in the drug class Beta-adrenergic blockers are used in the treatment of Ophthalmologic Approach to Chemical Burns?

Which medications in the drug class Ascorbate are used in the treatment of Ophthalmologic Approach to Chemical Burns?

Which medications in the drug class Cycloplegic mydriatics are used in the treatment of Ophthalmologic Approach to Chemical Burns?

Which medications in the drug class Carbonic anhydrase inhibitors are used in the treatment of Ophthalmologic Approach to Chemical Burns?

Which medications in the drug class Topical antibiotics are used in the treatment of Ophthalmologic Approach to Chemical Burns?