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Burn Injuries

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...

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Updated: Oct 6, 2025

Nasolacrimal Lavage as a Treatment for Ocular Surface Toxic Soup Syndrome

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Published on: April 25, 2025

Eyelid Chemical Burns: A Multidisciplinary And Challenging Approach.

C Keilani^1,2,3,4,5, A De Faria², A Baus¹

¹Department of Plastic Surgery and Burn Treatment, Percy Military Hospital, Clamart, France.

Annals of Burns and Fire Disasters

|January 17, 2022

Summary

Early surgical intervention for severe eyelid sulfuric acid burns, involving prompt grafting, significantly improves eyelid function and promotes faster ocular healing, preventing complications like ectropion and exposure keratitis.

Keywords:

chemical burns early skin graft eyelid injuries

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Area of Science:

Ophthalmology
Plastic Surgery
Burn Management

Background:

Second- and third-degree eyelid sulfuric acid burns often lead to delayed healing and complications like ectropion.
Traditional approaches delay grafting until wound separation, potentially missing optimal recovery windows.

Purpose of the Study:

To highlight the benefits of early eyelid release and grafting in managing severe chemical burns.
To present a case demonstrating successful outcomes with prompt surgical intervention.

Main Methods:

A case report of a patient with severe eyelid sulfuric acid burns.
Early surgical management involving full-thickness skin grafting.
Multidisciplinary approach with ophthalmologists and plastic surgeons.

Main Results:

Complete graft survival and donor site healing within 10 days.
Successful recovery of eyelid function, ensuring complete eyeball coverage.
Satisfying functional and cosmetic outcomes at 2 months, with no lagophthalmos or exposure issues.

Conclusions:

Early excision and grafting of eyelids after sulfuric acid burns significantly improve ocular healing.
A coordinated, multidisciplinary approach initiated within 6 hours is crucial for optimal management.
This approach offers better long-term outcomes compared to delayed grafting.