Document Detail

Management of periocular post burn scarring in the epileptics.
MedLine Citation:
PMID:  12718776     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess the clinical presentation and management of patients with epilepsy presenting with periocular post burn scarring. DESIGN: Prospective and descriptive study. PLACE AND DURATION OF STUDY: Department of Ophthalmology, Jinnah Postgraduate Medical Centre, Karachi from September 1999 to September 2002. SUBJECTS AND METHODS: This study included 23 patients who had epilepsy and presented with periocular post-burn scarring to the eye department for management. All patients had contractures of their lids with variable amounts of corneal scarring and damaged to the eye ball. The surgical procedure performed consisted of release of contracture, horizontal lid shortening and application of free skin graft. RESULTS: There were 18 (78.26%) female and 5 (21.73%) male patients. The age range was from 18 to 45 years with a mean of 28 years. In 17 (73.91%) patients, lid contracture was released to cover their eyeballs. In 6 (26.08%) patients the eyeball was lost due to late presentation. CONCLUSION: There should be a high index of suspicion in facial burns for ophthalmic damage and early referral to an ophthalmologist should be made to prevent complications. Early release of contracture with application of full or partial thickness skin grafts is advisable.
Alyscia M Cheema; Mahmood Saeed; Abdul Ghani; Syed Wasim Akhter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the College of Physicians and Surgeons--Pakistan : JCPSP     Volume:  13     ISSN:  1022-386X     ISO Abbreviation:  J Coll Physicians Surg Pak     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-29     Completed Date:  2003-06-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9606447     Medline TA:  J Coll Physicians Surg Pak     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  210-2     Citation Subset:  IM    
Department of Eye, Jinnah Postgraduate Medical Centre, Karachi.
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MeSH Terms
Cicatrix / surgery*
Contracture / surgery*
Epilepsy / complications*
Eye Burns / surgery*
Eyelid Diseases / etiology,  surgery*
Skin Transplantation
Erratum In:
J Coll Physicians Surg Pak. 2003 Jul;13(7):422

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

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