Burns C L, Chylack L T
Ann Ophthalmol. 1979 Sep;11(9):1358-68.
Our experience with 40 patients with eyelid and globe burns is reviewed. Initial emphasis should be placed on close monitoring, particularly of partially alert patients, debridement and treatment of corneal exposure with artificial tears and scleral shells when needed. The use of soft contact lenses in 2 patients with exposure was unsuccessful. Surgical treatment should be initiated when corneal exposure fails to respond to medical therapy. It is advisable to wait for the end stage of scarring so as to optimize chances for a single definitive correction. The use of retroauricular, supraclavicular or inner arm skin for grafting whenever possible is advised. The use of Frost sutures, tie-on dressings, and separate operations for upper and lower lids is recommended. Superficial wound sepsis is not a contraindication to grafting. Preoperative systemic or topical antibiotics do not seem to affect the outcome of the graft.
我们回顾了40例眼睑和眼球烧伤患者的治疗经验。初始重点应放在密切监测上，尤其是对部分意识清醒的患者，必要时进行清创，并使用人工泪液和巩膜壳治疗角膜暴露。2例暴露性角膜病变患者使用软性隐形眼镜未成功。当角膜暴露对药物治疗无反应时，应开始手术治疗。建议等待瘢痕形成的终末期，以优化单次确定性矫正的机会。建议尽可能使用耳后、锁骨上或上臂内侧皮肤进行移植。建议使用Frost缝线、包扎敷料，并对上睑和下睑分别进行手术。表浅伤口脓毒症不是移植的禁忌证。术前全身或局部使用抗生素似乎不影响移植效果。
