Adepoju F G, Adeboye A, Adigun I A
Department of Ophthalmology, College of Medicine, University of Ilorin, Nigeria.
Ann Afr Med. 2007 Mar;6(1):7-11. doi: 10.4103/1596-3519.55738.
BACKGROUND/PURPOSE: To review the pattern of presentation and management difficulty of patients with ocular chemical bums.
Retrospective study of all patients with ocular burns seen over 8-year period (March 1998-April 2006) in the eye clinic as well as the plastic and reconstructive surgery unit of our hospital. Case files were retrieved and relevant information extracted and analyzed.
There were a total of 23 patients (n=33 eyes) seen in the period under review consisting of 19 males and 4 females. The age ranged from 6-52 years with mean age of 31.87years. The chemical injuries were accidental in 73.9% of the cases and of these 76.5% were work related. The remaining 26.1% resulting from assault were bilateral and led to blindness in all the patients. Main injurious agents were acid and alkali.
Major cause of chemical injury was work related; although blindness and disability occurred more in the cases of assault. Occupational health issues need a revisit, preparedness of health institutions to take adequate care of people with ocular burns is presently poor.
背景/目的：回顾眼部化学烧伤患者的临床表现模式及治疗难点。
对我院眼科以及整形与重建外科在8年期间（1998年3月至2006年4月）诊治的所有眼部烧伤患者进行回顾性研究。检索病例档案，提取并分析相关信息。
在研究期间共诊治23例患者（33只眼），其中男性19例，女性4例。年龄范围为6至52岁，平均年龄31.87岁。73.9%的化学伤为意外伤，其中76.5%与工作相关。其余26.1%由袭击导致，均为双眼伤，所有患者均失明。主要致伤物为酸和碱。
化学伤的主要原因与工作相关；尽管袭击导致的病例中失明和残疾更为常见。职业健康问题需要重新审视，目前医疗机构对眼部烧伤患者的充分护理准备不足。
