Moon Deborah J, Langley Shawna
David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Department of Dermatology, Loma Linda University Medical Center, California, USA.
Cutis. 2019 Jun;103(6):346-350.
Chemical burns to the eyes are one of the few ocular emergencies that dermatologists may encounter in their everyday clinic. As such, dermatologists should be confident in their ability to urgently manage ocular chemical injuries should accidental exposure occur during a procedure. We report a case of accidental ocular exposure to aluminum chloride hexahydrate during skin biopsy of the cheek and subsequent transient ocular injury that resolved with early appropriate management. This article provides background information on acute chemical ocular injuries, offers practical step-by-step guidance for the dermatologist, and highlights immediate copious irrigation as perhaps the most critical step in determining the clinical course of the injury.
眼部化学灼伤是皮肤科医生在日常门诊中可能遇到的少数眼部急症之一。因此，如果在手术过程中发生意外暴露，皮肤科医生应确信自己有能力紧急处理眼部化学损伤。我们报告了一例在脸颊皮肤活检期间意外眼部接触六水合氯化铝以及随后发生短暂性眼损伤的病例，该损伤通过早期适当处理得以解决。本文提供了急性化学性眼外伤的背景信息，为皮肤科医生提供了实用的分步指导，并强调立即大量冲洗可能是决定损伤临床过程的最关键步骤。
