HISTORICAL CHARACTERISTICS OF CHEMICAL EYE INJURIES

  • Marija Matovic Ministry of internal affairs of Republic Serbia, Gendarme, fifth detachment health prevention of Kraljevo, Serbia
  • Katarina Janicijevic Faculty of Medical Sciences, University of Kragujevac, Serbia
  • Mirjana Janicijevic Petrovic Clinic of Ophthalmology, Clinical Centre of Kragujevac, Serbia Faculty of Medical Sciences, University of Kragujevac, Serbia

Sažetak


Introduction

Chemical eye injuries are described as trauma of the eye which represent an urgent state in ophthalmology, and are mostly localized on the anterior segment. Causes of injuries are acid, alkali, mixed and non identified agents. Diagnostic procedures are easy, but therapy is complex.

Aim - to describe the historical characteristics of chemical eye trauma and analyze the causes as the most common agents involved in chemical injuries at tertiary level of referent region.

Material/Methods

The retrospective study conducted on data of the chemical eye injuries presented at Clinic of ophthalmology in Clinical Centre of Kragujevac (Central Serbia) in past three years. One hundred and thirteen patients (164 eyes) who were presented from September, 2013 to September, 2015 for observation with chemical eye injuries were included in this study. Authors analyzed and showed the most important of hystorical characteristics: gender, age, categories of chemical agents and location of the accident.

Results

Males were more often reported with injures than females (66.37% vs. 33.63%). The mean age across categories was 46-60 years (54, 47.79%). The most common categories of chemical agents: hydrochloric acid – 42 eyes (25.61%), acetic acid – 37 eyes (22.56%), quicklime – 37 eyes (22.56%), quenched – 24 eyes (14.63%) and mixed – 24 eyes (14.63%). The location where injury occurred was mostly at home – 84 eyes (51.22%) and et work – 80 eyes (48.78%).

Conclusion

Correlation of references from this study and world references in the medium urban countries with dominators light industries was developed to be relatively identical. In frequency from this study allocated by chemical eye injury – males dominated professionally in social and private industry sector while it was dominated by female in households while maintaining general hygiene. Frequently bases were quenched and quicklime. The most common location was inside the home.

Keywords: history characteristics, chemical eye injuries, categories of agent, urban countries, location of injuries

Reference

Jafari AK, Anvari F, Ameri A, Bozorgui S, Shahverdi N. Epidemiology and socio demographic aspects of ocular traumatic injuries in Iran. Int Ophthalmol 2010; 30(6): 691-6.

Merle H, Gérard M, Schrage N. Ocular burns. J Fr Ophtalmol 2008; 31(7): 723-34.

Hong J, Qiu T, Wei A, Sun X, Xu J. Clinical characteristics and visual outcome of severe ocular chemical injuries in Shanghai. Ophthalmology 2010; 117(12): 2268-72.

Blackburn J, Levitan EB, MacLennan PA, Owsley C, McGwin G Jr. The epidemiology of chemical eye injuries. Curr Eye Res 2012; 37(9): 787-93.

Bagley DM, Casterton PL, Dressler WE, Edelhauser HF, Kruszewski FH, McCulley JP, Nussenblatt RB, Osborne R, Rothenstein A, Stitzel KA, Thomas K, Ward SL. Proposed new classification scheme for chemical injury to the human eye. Regul Toxicol Pharmacol 2006; 45(2): 206-13.

Midelfart A, Hagen YC, Myhre GB. Chemical burns to the eye. Tidsskr Nor Laegeforen 2004; 124(1): 49-51.

Young RC, Ho WS, Ying SY, Burd A. Chemical assaults in Hong Kong: a 10-year review. Burns 2002; 28(7): 651-3

Gicquel JJ. Management of ocular surface chemical burns. Br J Ophthalmol 2011; 95(2): 159-61.

Objavljeno
2016/04/11
Rubrika
Stručni članak