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Chemical injuries of the eye - Clinical study of 40 cases

Chemical injuries of the eye - Clinical study of 40 cases,S C Reddy,P R Reddy

Chemical injuries of the eye - Clinical study of 40 cases  
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AIM: To determine the type of chemical causing eye injury, occupation of patients, severity of ocular injury, complications and visual outcome in patients who sustained chemical injuries of eye. METHODS: Gender, age, occupation, nature of chemical, eye involved, vision at admission, severity of ocular injury, complications and visual outcome were noted from the case records of patients who were treated for chemical injuries of eye over a period of one year. RESULTS: A total number of 40 patients (53 eyes) were treated, of which 33 were males and 7 were females. There were 13 patients with both eyes involved while 27 had one eye involvement. Industrial workers (32.5%) were the most commonly affected people. Injuries due to alkalis were more common than acids. The vision at presentation was poor (< 6/60) in 43.4% of eyes. In majority of the patients (73.6%) the severity of chemical injury was mild to moderate. Corneal opacity (45.2%) was the most common complication. Best corrected vision of 6/12 or better was achieved in 22.6% of eyes. CONCLUSION: Public education and practice of protective measures for eyes at the work site will help in reducing the severity of ocular injury due to chemicals. Thorough irrigation of eyes and appropriate immediate treatment will reduce the long term complications and sequelae in these patients.
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