Kalish E, Stiebel-Kalish H, Wolf Y, Robinpour M, Hauben D J
Department of Plastic and Reconstructive Surgery, Rabin Medical Center, Beilinson Campus, Petah Tikva, Israel.
Burns. 1998 Mar;24(2):173-5. doi: 10.1016/s0305-4179(97)00105-8.
Scorched eyelashes and burned eyelids are a common finding in facial burns, though the eye itself is often spared. Affected patients often complain of foreign body sensation and ocular discomfort in the absence of objective physical findings, other than scorched eyelashes and burned eyelash particles in the conjunctival sacs. This study was designed to evaluate the efficacy of prophylactic trimming of scorched eyelashes as a treatment for these findings and complaints. Eleven consecutive facial burn patients with bilateral eyelash scorching and no accompanying ocular damage were included. The eyelashes of one eye were trimmed, and those of the fellow eye served as untreated controls. Ophthalmic examinations were performed and eye-related complaints noted every other day for 10 days. We found that symptoms of foreign body sensation and discomfort occurred at a lower rate in the treated eyes (P<0.002) and no scorched eyelash particles were found in their conjunctival sacs (P<0.004) as compared to the untrimmed side. Conjunctival hyperemia was reduced. We suggest that shedding of scorched eyelash particles is a major cause of the ocular complaints in facial burn patients. Trimming the eyelash affords a simple and effective method of prophylactic treatment.
睫毛烧焦和眼睑烧伤在面部烧伤中很常见，不过眼睛本身通常未受影响。受影响的患者常常在没有客观体征的情况下抱怨有异物感和眼部不适，除了睫毛烧焦以及结膜囊中存在烧焦的睫毛颗粒外没有其他体征。本研究旨在评估预防性修剪烧焦睫毛对这些表现和症状的治疗效果。纳入了11例连续的双侧睫毛烧焦且无伴随眼部损伤的面部烧伤患者。修剪一只眼睛的睫毛，另一只眼睛的睫毛作为未处理的对照。每隔一天进行眼科检查并记录与眼睛相关的症状，持续10天。我们发现，与未修剪侧相比，处理过的眼睛出现异物感和不适症状的发生率较低（P<0.002），且其结膜囊中未发现烧焦的睫毛颗粒（P<0.004）。结膜充血减轻。我们认为烧焦的睫毛颗粒脱落是面部烧伤患者眼部症状的主要原因。修剪睫毛提供了一种简单有效的预防性治疗方法。
