Seye-Ndiaye C, Ndiaye P A, De Meideros M, Ndiaye M R, Wade A
Clinique Ophtalmologique CHU A. Le Dantec, Dakar Fann Sénégal.
Dakar Med. 1999;44(1):88-93.
Chemical and thermal ocular burns are emergencies in ophthalmology because of the blindness sequels they occur. All patients were included in a prospective study form during 18 months. 28 patients were admitted for ocular burns, representing an incidence of 5.21%. 13 of them had occupational ocular burns, 11 homely ocular burns and 4 public way injuries. 18 had chemical burns and 10 thermal burns, with a total of 44 eyes. The clinical observations was dominated by conjunctival lesions: 90.9%, corneal lesions: 79.5%, and plapebral lesions: 43.2%. 11 of them who had chemical burns, the ocular irrigation was made immediately after the accident, and all of them had antibiotic and cicatrizing treatment. The seriousness of ocular burns, the youngness of patients must instigate the authorities to improve the working conditions in the factories, and a better information in manipulation of dangerous chemical product.
化学性和热性眼烧伤因其可能导致的失明后遗症而成为眼科急症。在18个月期间，所有患者均纳入一项前瞻性研究。28例患者因眼烧伤入院，发病率为5.21%。其中13例为职业性眼烧伤，11例为家庭性眼烧伤，4例为公共场所受伤。18例为化学烧伤，10例为热烧伤，共涉及44只眼。临床观察以结膜病变为主：90.9%，角膜病变：79.5%，眼睑病变：43.2%。11例化学烧伤患者在事故发生后立即进行了眼部冲洗，所有患者均接受了抗生素和抗瘢痕治疗。眼烧伤的严重性以及患者的年轻化必须促使当局改善工厂的工作条件，并更好地宣传危险化学产品的操作知识。
