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Author Spotlight: Decoding Corneal Neovascularization with Alkali Burn Model for Future Therapeutic Strategies
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Ocular Complications of Facial Burns in the Pediatric Population

Elika Ridelman1, Abigail Teitelbaum1, Annmarie Craig1

  • 1Department of Surgery, Division of Pediatric Surgery, Children's Hospital of Michigan/Wayne State University, Detroit, Michigan, USA.

Journal of Burn Care & Research : Official Publication of the American Burn Association
|April 24, 2023
PubMed

Insights

Pediatric ocular burns can cause vision loss. This study identified risk factors for severe complications in children with eye burns, emphasizing early intervention for better outcomes.

Area of Science:

  • Ophthalmology
  • Pediatric Burn Care
  • Trauma Surgery

Background:

  • Pediatric ocular burns pose a significant risk of permanent vision impairment.
  • Identifying risk factors is crucial for preventing severe visual complications in children.

Purpose of the Study:

  • To identify risk factors associated with permanent visual complications in pediatric ocular burn patients.
  • To analyze the characteristics and outcomes of pediatric ocular burn injuries.

Main Methods:

  • Retrospective review of 300 pediatric patients (<18 years) with periorbital or ocular thermal injuries from January 2010 to December 2020.
  • Analysis of patient demographics, burn characteristics, ophthalmology consultations, ocular exam findings, follow-up, and complications.
  • Categorization of burn etiologies including scald, flame, contact, chemical, grease, and friction.

Main Results:

  • Ophthalmology consultation was received by 70.9% of patients.
  • Corneal injuries occurred in 39.8% of patients with ocular burns.
  • Serious ocular sequelae, such as ectropion and corneal decompensation, occurred in six patients.

Conclusions:

  • While infrequent, thermal burns affecting the ocular surface and eyelid margins can lead to serious long-term complications.
  • Early recognition of high-risk patients and prompt intervention are critical for managing pediatric ocular burns.
  • A low follow-up rate (29.5%) highlights a potential challenge in long-term management and outcome assessment.

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