[Chemical injuries of the eye - management of alkali burns.]

Chemical injuries are among the most severe injuries to the eye. Young men are most often affected. Work related injuries are more common than other types of injuries. Immediate treatment is paramount in preventing blindness. In the case of an alkali injury, an opaque cornea and a white edematous conjunctiva indicate a serious injury. In contrast, a clear cornea and a mildly to moderately irritated conjunctiva indicate a better prognosis. Copious irrigation is always the first treatment for all chemical injuries to the eye. Irrigation should be initiated as soon as possible and is to be continued until the tearfluid has regained a normal pH. Antibiotic ointment, lubrication and cycloplegic drops (e.g. Cyclogyl(R)) form the basis of treatment.