UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 救急外来における眼部損傷の概要overview of eye injuries in the emergency department [show details]
… Corneal abrasions and foreign bodies are common eye injuries. Clinical features of these injuries are as follows : Corneal abrasion – Patients with corneal abrasions report… vision-threatening and common conditions are provided. Rapid recognition and treatment of ocular chemical burns, orbital compartment syndrome, or open-globe injuries are essential to the preservation of vision…
2. 局所の化学熱傷：初期評価およびマネージメントtopical chemical burns initial assessment and management [show details]
… irrigation also represents the essential first aid for chemical burns of the skin and eye, reducing the risk for chronic conjunctivitis and sight-threatening corneal ulceration. Moderately warm water in high volumes …
3. 小児における急性視力低下へのアプローチapproach to acute vision loss in children [show details]
…evaluate for serious corneal injury (eg, chemical burn) or traumatic hyphema. Damage to posterior structures (eg, lens, retina, vitreous, optic nerve) often coexists with corneal chemical burns or traumatic hyphema …
4. 結膜損傷conjunctival injury [show details]
…following: Chemical burn – If a chemical burn to the ocular surface has occurred, copious irrigation of saline should be performed until the measured pH of the ocular surface is neutral. Corneal abrasion …
5. Moderate and severe thermal burns in children: Emergency managementmoderate and severe thermal burns in children emergency management [show details]
… may be necessary to prevent corneal ulceration, opacification, and visual loss. In cases where the ocular surface itself is burned and corneal edema is evident,… moderate to severe thermal burns in children The care of minor thermal burns, smoke inhalation, chemical burns to the skin and eye, electrical injuries, and ongoing burn management, are discussed separately …

English Journal

Adherence to Treatment and Follow-Up in Patients with Severe Chemical Eye Burns.

Bizrah M, Yusuf A, Ahmad S.
Ophthalmology and therapy. 2019 Jun;8(2)251-259.
To investigate the demographics, acute management and compliance rates of severe chemical eye burn cases that presented to the largest eye hospital in the United Kingdom (UK). All patients presenting to the Moorfields Eye Hospital emergency department are registered on the electronic patient admini
PMID 30868417

Inflammation, vascularization and goblet cell differences in LSCD: Validating animal models of corneal alkali burns.

Kethiri AR, Raju E, Kumar BK, Mishra DK, Basu S, Rao CM, Sangwan VS, Singh V.
Experimental eye research. 2019 May;().
Limbal stem cell deficiency (LSCD) is one of the serious cause of visual impairment and blindness with loss of corneal clarity and vascularization. Factors such as ocular burns (acids, lime, thermal), genetic disorders or infections results in the loss of limbal stem cells leading to LSCD. Reliable
PMID 31095932

An update on chemical eye burns.

Bizrah M, Yusuf A, Ahmad S.
Eye (London, England). 2019 May;().
Ocular chemical injuries vary in severity, with the more severe end of the spectrum having profound visual consequences and medicolegal implications. Grading of ocular injuries is critical for determining acute treatment and visual prognosis. Poor immediate management results in more challenging tre
PMID 31086244

Japanese Journal

医原性化学腐蝕眼に対する全層角膜移植後16年間観察できた2症例

北澤耕司,中村葉,外園千恵 [他]
あたらしい眼科 32(12), 1753-1756, 2015-12
NAID 40020699576

Immunohistochemical Observation of Amniotic Membrane Patching on a Corneal Alkali Burn In Vivo

Takahashi Hiroshi,Igarashi Tsutomu,Fujimoto Chiaki [他],OZAKI Noriko,ISHIZAKI Masamichi
Japanese journal of ophthalmology 51(1), 3-9, 2007-01-01
NAID 10018538694

Multilayered amniotic membrane transplantation for severe ulceration of the cornea and sclera

花田一臣,Shimazaki J,Shimura S,Tsubota K
AMERICAN JOURNAL OF OPHTHALMOLOGY 131(3), 324-331, 2001
… Tsubota, K, AMERICAN JOURNAL OF OPHTHALMOLOGY, 131(3), 324-331, 2001.authorObjective: To examine the efficacy of amniotic membrane transplantation in the treatment of deep corneal and scleral ulcers. … Participants: A total of 11 patients were recruited for this study: four patients (4 eyes) with corneal perforation, 5 patients (5 eyes) with a deep corneal ulcer and descemetocele, and 2 patients (2 eyes) with a scleral ulcer. …
NAID 120003132241