Document Detail


Experience with burns of the eyes and lids in a regional burn unit.
MedLine Citation:
PMID:  7673303     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During a 3-year period 1527 patients with burns were admitted to a regional burn unit in Augusta, Georgia. Two hundred thirty patients (15.06%) were referred for consultation by an ophthalmologist. Thirty-two patients had preexisting ophthalmic problems that were believed to warrant consultation. One hundred eighty-nine patients were seen because of facial burns. Of these, 143, or 9.36%, had burn injuries of the eyes or lids that required care. Lid involvement was encountered in 122 (7.98%) cases. In 78 cases lid involvement was bilateral (in the remainder, unilateral). In 61 cases thermal or chemical burns to the conjunctiva or lens were present. Skin grafts to the lids were required for acute care in 11 instances. Tarsorrhaphies were done in 11 instances. In one case the lids were essentially destroyed, and extensive reconstruction with flaps was needed. Late reconstruction with grafting of the lids was done in five cases. In three eyes (two patients) enucleation was eventually required. Ten patients without burns who had toxic epidermal necrolysis were also treated on the unit. Consultation with an ophthalmologist is believed to be important in patients with significant ocular or periocular injury. The importance of maintaining moisture to the globe is stressed.
Authors:
J M Still; E J Law; K E Belcher; K C Moses; K Y Gleitsmann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of burn care & rehabilitation     Volume:  16     ISSN:  0273-8481     ISO Abbreviation:  J Burn Care Rehabil     Publication Date:    1995 May-Jun
Date Detail:
Created Date:  1995-10-18     Completed Date:  1995-10-18     Revised Date:  2006-08-15    
Medline Journal Info:
Nlm Unique ID:  8110188     Medline TA:  J Burn Care Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  248-52     Citation Subset:  IM    
Affiliation:
Augusta Regional Medical Center, GA 30909, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Burn Units
Child
Eye Burns* / complications,  diagnosis,  etiology,  therapy
Eye Diseases* / diagnosis,  etiology,  physiopathology,  therapy
Eyelids / injuries*,  pathology,  surgery
Female
Follow-Up Studies
Humans
Male
Middle Aged
Prognosis
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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