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      Alkali Burns of the Eye: Effect of Immediate Copious Irrigation with Tap Water on Their Severity

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          Abstract

          Purpose: To examine the effect of immediate irrigation on ocular alkali burn. Methods: Information on the injury, immediate irrigation, and ocular findings was retrospectively obtained from each patient’s record. Results: 36 patients (49 eyes) irrigated their eyes with tap water (the irrigation group) and 17 patients (29 eyes) did not (no irrigation group). The mean age of patients in the irrigation and no irrigation groups was 30 and 53 years, respectively. According to Hugher’s classification, 76% of eyes in the irrigation group had grade 1 injury, while 86% of eyes in the no irrigation group had grade 2 injuries. Mean time from the injury until healing was 8 days in the irrigation group and 29 days in the no irrigation group, respectively. Conclusion: Immediate copious irrigation with tap water reduced the severity in alkali burns of the eye and shortened the healing time.

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          Most cited references 10

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          Chemical injuries of the eye: Current concepts in pathophysiology and therapy

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            Chemical burns of the eye: causes and management.

            For the 14 months 1 January 1985 to 28 February 1986 all cases of chemical eye injury presenting to the Croydon Eye Unit were analysed. Of the 180 cases 19 were caused by assaults and 14 were admitted for treatment. The wide range of injurious substances is emphasised, and the circumstances of injury are listed. A discussion of the management of chemical eye injury is included.
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              Eye injuries from assault with chemicals.

               J Beare (1990)
              Sixty four patients with eye injuries resulting from assault with chemicals were reviewed. In 17 eyes of 16 patients there was total corneal epithelial loss with varying degrees of limbal ischaemia. Nine eyes were effectively blinded and two eyes suffered less severe but permanent impairment of vision.
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                Author and article information

                Journal
                OPH
                Ophthalmologica
                10.1159/issn.0030-3755
                Ophthalmologica
                S. Karger AG
                0030-3755
                1423-0267
                2006
                June 2006
                21 June 2006
                : 220
                : 4
                : 225-228
                Affiliations
                aDivision of Ophthalmology, Itoigawa General Hospital, Niigata; bDepartment of Ophthalmology, Toyama Medical and Pharmaceutical University and cDivision of Ophthalmology, Asahi General Hospital, Toyama, Japan
                Article
                93075 Ophthalmologica 2006;220:225–228
                10.1159/000093075
                16785752
                © 2006 S. Karger AG, Basel

                Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

                Page count
                Tables: 2, References: 20, Pages: 4
                Categories
                Original Paper

                Vision sciences, Ophthalmology & Optometry, Pathology

                Ocular injury, Alkali burn, Immediate irrigation

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