Suppr超能文献

[角膜烧伤:临床特征、眼前节光学相干断层扫描的作用及治疗——8例报告]

[CORNEAL BURN: CLINICAL PROFILE, CONTRIBUTION OF ANTERIOR SEGMENT OPTICAL COHERENCE TOMOGRAPHY AND MANAGEMENT - EIGHT CASES].

作者信息

Ben Abdesslem N, Mahjoub A, Chaabene R, Zaafrane N, Sellem I, Bel Hadj Letaief R, Ben Youssef C, Jouini A, Mahjoub H, Ghorbel M

机构信息

Départment d'ophtalmologie, CHU Farhat Hached, Université de Sousse, Tunisie.

出版信息

Ann Burns Fire Disasters. 2024 Jun 30;37(2):91-96. eCollection 2024 Jun.

Abstract

Ocular burns can have three origins: chemical (by acid or alkaline agents), luminous (by ultraviolet radiation) or thermal. We report the cases of eight patients with ocular burns (3 thermal and 5 chemical). Of these, one patient had a grade 2 burn according to the Dua classification, two had grade 3 damage and one had grade 4. One patient had grade 3 damage in the right eye and grade 4 in the left eye. Anterior segment optical coherence tomography (AS-OCT) was performed in two patients, showing corneal de-epithelialization, corneal thickening and a hyper-reflective line in the posterior stroma. All patients received medical treatment with topical antibiotics, topical corticosteroids, cycloplegics and wetting agents. Five patients had outpatient treatment with clinical improvement. Three patients were hospitalized, one of whom received an amniotic membrane graft (AMG), one had an AMG followed by a transfixing keratoplasty (TK), and the other is scheduled for a TK. Ocular burns are associated with significant functional risk, warranting prompt and effective management.

摘要

眼部烧伤有三种起因

化学性(由酸或碱性制剂引起)、光性(由紫外线辐射引起)或热性。我们报告了8例眼部烧伤患者的病例(3例热性烧伤和5例化学性烧伤)。其中,根据杜阿分类,1例患者为2级烧伤,2例为3级损伤,1例为4级。1例患者右眼为3级损伤,左眼为4级。对2例患者进行了眼前节光学相干断层扫描(AS-OCT),显示角膜上皮剥脱、角膜增厚以及后基质中的高反射线。所有患者均接受了局部抗生素、局部皮质类固醇、睫状肌麻痹剂和湿润剂的药物治疗。5例患者门诊治疗后病情改善。3例患者住院治疗,其中1例接受了羊膜移植(AMG),1例先接受了AMG,随后进行了穿透性角膜移植术(TK),另1例计划进行TK。眼部烧伤伴有重大的功能风险,需要及时有效的处理。

相似文献

9
Anterior segment optical coherence tomography in eye injuries.眼前节光学相干断层扫描在眼外伤中的应用
Graefes Arch Clin Exp Ophthalmol. 2009 Apr;247(4):451-5. doi: 10.1007/s00417-008-0937-x. Epub 2008 Sep 3.

本文引用的文献

2
Ocular Thermal Burn Injury in the Emergency Department.急诊科的眼部热烧伤
Cureus. 2020 Feb 28;12(2):e7137. doi: 10.7759/cureus.7137.
4
Early and late complications of ocular burn injuries.眼烧伤的早期和晚期并发症
J Plast Reconstr Aesthet Surg. 2015 Mar;68(3):356-61. doi: 10.1016/j.bjps.2014.10.031. Epub 2014 Nov 5.
5
[Ocular burns].[眼部烧伤]
J Fr Ophtalmol. 2008 Sep;31(7):723-34. doi: 10.1016/s0181-5512(08)74391-2.
6
Chemical, thermal, and biological ocular exposures.
Emerg Med Clin North Am. 2008 Feb;26(1):125-36, vii. doi: 10.1016/j.emc.2007.11.002.
7
Ocular surface reconstruction for thermal burns caused by fireworks.
Cornea. 2006 Feb;25(2):139-45. doi: 10.1097/01.ico.0000180083.59244.8f.
8
A new classification of ocular surface burns.眼表烧伤的一种新分类。
Br J Ophthalmol. 2001 Nov;85(11):1379-83. doi: 10.1136/bjo.85.11.1379.
9
Chemical burns of the eye: causes and management.眼部化学烧伤:病因与处理
Br J Ophthalmol. 1987 Nov;71(11):854-7. doi: 10.1136/bjo.71.11.854.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验