Ben Abdesslem N, Mahjoub A, Chaabene R, Zaafrane N, Sellem I, Bel Hadj Letaief R, Ben Youssef C, Jouini A, Mahjoub H, Ghorbel M
Départment d'ophtalmologie, CHU Farhat Hached, Université de Sousse, Tunisie.
Ann Burns Fire Disasters. 2024 Jun 30;37(2):91-96. eCollection 2024 Jun.
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.
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。
