Burn during a routine pterygium excision operation.

Abstract:

PURPOSE:To report a patient who sustained a spark fire burn during a routine pterygium operation. METHODS:A 40-year-old woman was referred for pterygium excision in her left eye. During the operation a low temperature cautery caused a spark fire that resulted in left eye corneal burn, upper and lower eyelid burns, and melting of eyelashes and eyebrows bilaterally. RESULTS:Topical antibiotics and vitamin C followed by topical corticosteroids were given. After 1 week the corneal epithelium healed but a paracentral corneal opacity developed. Two months later on last follow-up visit, a mild diffuse corneal opacity was still seen. The combination of three elements found in most routine (ophthalmologic) surgical fields-an enriched oxygen environment with the high temperature transmitted by the electrocautery in the vicinity of hair-might explain the event. CONCLUSIONS:Surgeons should try to separate these three elements or eliminate any of them, in order to minimize or prevent such events.

journal_name

Eur J Ophthalmol

authors

Naftali M,Jabaly-Habib H,Mukari A

doi

10.1177/112067210801800425

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

639-40

issue

4

eissn

1120-6721

issn

1724-6016

journal_volume

18

pub_type

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