Demographic profile and clinical characteristics of patients presenting with acute ocular burns

Anahita Kate1, Supriya Sharma2, S Yathish3

  • 1Shantilal Shanghvi Cornea Institute, L V Prasad Eye Institute, Vijayawada, Andhra Pradesh, India.

Insights

Acute ocular burns (AOB) disproportionately affect children, with domestic injuries and specific agents like edible lime being common. Children experienced more severe burns and poorer visual outcomes, highlighting the need for targeted prevention strategies.

Area of Science:

  • Ophthalmology
  • Trauma Care
  • Public Health

Background:

  • Acute ocular burns (AOB) represent a significant cause of ocular morbidity.
  • Understanding the demographic and clinical differences between pediatric and adult AOB is crucial for effective management and prevention.

Purpose of the Study:

  • To compare the demographic and clinical characteristics of acute ocular burns in children and adults.
  • To identify specific risk factors and causative agents in pediatric versus adult AOB.
  • To analyze treatment outcomes and visual acuity in different age groups.

Main Methods:

  • A retrospective case series analysis of 271 children and 1300 adults with AOB treated at two tertiary eye care centers.
  • Data collection included demographics, causative agents, injury severity (Dua grade), presenting and final visual acuity (VA), and treatments received.
  • Statistical analysis was performed to compare outcomes between pediatric and adult cohorts.

Main Results:

  • Males were more frequently affected, especially in the adult group. Domestic injuries predominated in children (79%), while workplace injuries were more common in adults (59%).
  • Alkali and acids were the primary causes, with edible lime (chuna), superglue, and firecrackers being significant agents in children. Adults commonly encountered chuna, insecticides, lye, and superglue.
  • Children had a higher incidence of severe burns (Dua grade IV-VI) and required more interventions like amniotic membrane grafting and tarsorrhaphy. Presenting visual acuity was poorer in children, and final visual acuity for severe burns was also worse compared to adults.

Conclusions:

  • The study highlights distinct patterns in AOB etiology and severity between children and adults.
  • Specific agents and injury settings necessitate targeted public health awareness and preventive measures for children.
  • Addressing these age-specific factors is essential to reduce avoidable ocular morbidity from acute ocular burns.
Abstract

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