Abstract:
PURPOSE:To study the ocular outcomes of facial burns over a 10-year period at the Alfred Hospital; in particular, to investigate the impact of 3 variables (grading of burn, use of prophylactic ocular surface lubrication, and timing of ophthalmologic referral) on the requirements for eyelid surgery. METHODS:A retrospective review of patients admitted to the Alfred Hospital (from October 1990 to October 2000) after thermal burns with facial, eyelid, and ocular involvement. RESULTS:Sixty-six patients were identified with facial burns involving the lids or eyes, having been admitted over a 10-year period. Of these 66, 7 died of complications of the burns and 12 required eye or eyelid surgery. Of those patients treated with prophylactic ocular surface lubrication, the rate of ocular surgery was 18.4% as opposed to 30% when no prophylaxis was used. The higher the percentage of total burn, the later the referral was made. Of those with severe eyelid burns, 100% had eyelid surgery and 50% of moderate burns had eyelid surgery. Sixty percent of moderate eyelid burns that required surgery did not receive prophylaxis. Thirty-four of 66 patients had acute corneal involvement, but only 3 eyes of 118 had long-term corneal morbidity. CONCLUSIONS:The requirement for eyelid surgery was closely related to the severity of the eyelid burn. The presence of an acute corneal burn with epithelial loss was not a poor prognosticator. The use of prophylactic ocular surface lubrication may provide early corneal protection, thereby minimizing ulceration in patients who may otherwise have required surgery, especially in those with mild to moderate exposure. Prompt ophthalmologic examination and the early use of prophylactic ocular surface lubrication for the cornea are associated with less need for eyelid surgery in patients with moderate eyelid burns.
journal_name
Ophthalmic Plast Reconstr Surgjournal_title
Ophthalmic plastic and reconstructive surgeryauthors
Spencer T,Hall AJ,Stawell RJdoi
10.1097/00002341-200205000-00008subject
Has Abstractpub_date
2002-05-01 00:00:00pages
196-201issue
3eissn
0740-9303issn
1537-2677journal_volume
18pub_type
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
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journal_title:Ophthalmic plastic and reconstructive surgery
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journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
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journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
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journal_title:Ophthalmic plastic and reconstructive surgery
pub_type: 杂志文章
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journal_title:Ophthalmic plastic and reconstructive surgery
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