Vajpayee R B, Gupta N K, Angra S K, Chhabra V K, Sandramouli S, Kishore K
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Instituteof Medical Sciences, New Delhi.
Can J Ophthalmol. 1991 Jun;26(4):215-8.
The records of 59 patients (66 eyes) with contact thermal burns of the cornea (unilateral in 52 cases and bilateral in 7) were reviewed to determine the causes, clinical presentation, management and complications of such injuries. Most of the injuries (90%) occurred at home. The commonest cause was splashing of boiling fluids (42% of cases), followed by contact with red-hot firecracker particles (18%) and lit match heads (17%). In 59 eyes (89%) the burn was limited to the corneal epithelium, in 5 (8%) the superficial stroma was also involved, and in 2 (3%) there was associated corneal perforation caused by mechanical impact of foreign bodies. Débridement of the coagulated epithelium with patching was the most successful treatment, healing 48 (73%) of the eyes. Postburn complications were rare, the most common being development of inferior symblepharon, in three eyes (4%).
回顾了59例（66只眼）角膜接触性热烧伤患者的记录（52例为单眼烧伤，7例为双眼烧伤），以确定此类损伤的原因、临床表现、治疗方法及并发症。大多数损伤（90%）发生在家中。最常见的原因是滚烫液体溅入（42%的病例），其次是接触炽热的鞭炮颗粒（18%）和点燃的火柴头（17%）。59只眼（89%）的烧伤局限于角膜上皮，5只眼（8%）的浅层基质也受累，2只眼（3%）因异物的机械冲击导致角膜穿孔。用包扎法清除凝固的上皮是最成功的治疗方法，48只眼（73%）愈合。烧伤后并发症很少见，最常见的是3只眼（4%）出现下方睑球粘连。
