Breazzano Mark P, Day H Russell, Tanaka Sarah, Tran Uyen
Department of Ophthalmology & Visual Sciences, Vanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee; Vanderbilt University School of Medicine, Nashville, Tennessee; Department of Ophthalmology, Harkness Eye Institute, Columbia University College of Physicians & Surgeons, New York, New York.
Vanderbilt University School of Medicine, Nashville, Tennessee.
J AAPOS. 2018 Dec;22(6):426-428. doi: 10.1016/j.jaapos.2018.07.349. Epub 2018 Oct 17.
To present data on chemical ocular burns in children seen at a single tertiary care facility resulting from accidental eye exposure to the contents of laundry detergent pods.
All emergent pediatric ophthalmology consultations specific for chemical ocular burns at a level I trauma center were included as part of a prospective quality improvement investigation over a 13-month period. Age, causative agent, and examination findings at presentation and final follow-up were recorded and analyzed.
A total of 12 children with chemical ocular burns were seen during the study period. All patients were ≤5 years of age. Most chemical ocular burn consultations (n = 8) were specific to ocular exposure of laundry detergent pod contents; the remainder were associated with conventional cleaning agents or pesticides (n = 4). There was a significant association between laundry detergent pod as causative agent and a patient age of 2-5 years, compared to <2 years and any other agent (P = 0.018 [Fisher exact test]).
In our study, laundry detergent pods were the most frequent cause of chemical ocular burns in children. Additionally, preschoolers may be at a higher risk of sustaining these injuries. Increased public awareness, product safety improvements, and/or regulation may be advisable to decrease the ocular hazards associated with laundry detergent pods.
呈现一家三级医疗机构收治的儿童因意外眼部接触洗衣凝珠内容物导致化学性眼烧伤的数据。
在13个月期间，作为前瞻性质量改进调查的一部分，纳入了某一级创伤中心所有因化学性眼烧伤进行的紧急儿科眼科会诊。记录并分析患者的年龄、致病因素以及就诊时和最终随访时的检查结果。
研究期间共收治了12例化学性眼烧伤儿童。所有患者年龄均≤5岁。大多数化学性眼烧伤会诊（n = 8）是因眼部接触洗衣凝珠内容物所致；其余病例与传统清洁剂或杀虫剂有关（n = 4）。与年龄＜2岁及其他任何致病因素相比，洗衣凝珠作为致病因素与2至5岁患者之间存在显著关联（P = 0.018[Fisher精确检验]）。
在我们的研究中，洗衣凝珠是儿童化学性眼烧伤最常见的原因。此外，学龄前儿童遭受此类损伤的风险可能更高。提高公众意识、改进产品安全性和/或加强监管可能有助于降低与洗衣凝珠相关的眼部危害。
