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KMID : 0853020080110010039
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Journal of Korean Burn Society
2008 Volume.11 No. 1 p.39 ~ p.43
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5-years Experience of Burn-related Eye Complication
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Kim Ae-Sim
Cho Yong-Suk
Kim Do-Hern
Hur Jun
Chun Wook
Shin Hyun-Sun
Noh Soon-Ye
Kim Jong-Hyun
Yim Hae-Jun
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Abstract
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Purpose: The incidence of ophthalmologic injuries has been reported to be between 20 and 25% in all the burn patients. As most of the eye injuries are associated with severe burns, attention is often towards the life-threatening events and eye injuries may be overlooked and undertreated. The aim of this study was to analyse 5 years experience with burn-related ophthalmic complication in Hangang sacred heart hospital.
Methods: We reviewed the data of 249 patients who have been treated with burn-related ophthalmic complication in our burn center between 1 Jan. 2003 and 31 Dec. 2007. We made an analysis of demographic data and characteristics of complication.
Results: 249 patients were included. 212 males (85.14%) and 37 female (14.85%) with mean age of 38±13.75 years are described. Mean TBSA was 15.89% (±19.28) and most of burn were flame burn with 141 cases, following 28 scalding burn, 23 flash burn, 19 chemical burn, 18 electrical burn, 13 contact burn, 7 steam burn. Total 331 eyes complications were included. Corneal burn is most common incidence in 82 cases, following conjunctivitis in 57 cases, corneal erosion in 51 cases, dry eye syndrome in 50 cases, corneal ulcer in 13 cases, keratitis in 13 cases, and so on. In 4 cases, corneal ulcer perforation was developed and subsequently performed evisceration. In one case, metastatic endophthalmitis was
developed and evisceration was carried out. Cultures from the eviscerated eye indicated the presence of S.aureus.
Conclusion: Since ophthalmologic injuries are usually associated with severe burn injuries with facial involvement and even inhalation injury, attention is often directed towards these life-threatening issues and eye injuries may be overlooked and underreacted. This may lead to serious sequelae, corneal perforation and blindness. Regular eye examination, adequate eye care and protection are crucial factors in preventing serious complication. Serial examinations by the ophthalmologist is required if the patients is ventilated or unconscious, as the potential risk from serious ocular injury, as well as its complications is relatively high in this group of patients. (Journal of Korean Burn Society 2008;11:39-43)
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KEYWORD
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Burn, Eye, Ophthalmiccomplication
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