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Ophthalmic thermal injuries

K A Lipshy1, W E Wheeler, D E Denning

  • 1Medical College of Virginia, Richmond, USA.

The American Surgeon
|June 1, 1996
PubMed
Summary
This summary is machine-generated.

Facial burns can cause serious eye injuries, even if corneal burns are rare. Prompt evaluation by an ophthalmologist is crucial for patients with facial burns to rule out other life-threatening conditions.

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Area of Science:

  • Ophthalmology
  • Burn Surgery
  • Trauma Care

Background:

  • Facial burns frequently involve ocular structures, necessitating prompt recognition and management.
  • Ophthalmic injuries associated with facial burns can lead to severe visual impairment and are often linked to systemic trauma.
  • Delayed or inadequate treatment of ophthalmic burns can result in catastrophic sequelae.

Purpose of the Study:

  • To survey the incidence and outcomes of ophthalmic injuries in patients with thermal facial burns.
  • To highlight the association between facial burns, ophthalmic trauma, and potentially lethal systemic injuries.
  • To emphasize the importance of ophthalmological evaluation in all cases of facial burns.

Main Methods:

  • A 2-year retrospective survey of patients admitted to a burn unit for thermal facial burns.

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  • Identification and analysis of patients with associated ophthalmic injuries.
  • Review of injury characteristics, treatment requirements (including intubation), and mortality rates.

    • Main Results:

    • Out of 44 patients with facial burns, 16 (36.4%) sustained ophthalmic injuries.
    • Corneal injury was present in 2 patients (12.5% of those with ophthalmic injuries).
    • Intubation was required in 7 patients (43.8%) with ophthalmic injuries, and mortality was 25% (4/16).

    Conclusions:

    • Facial burns severe enough to cause ophthalmic injuries are often associated with other life-threatening conditions.
    • A high index of suspicion for systemic injuries is warranted in patients with facial and ophthalmic burns.
    • Urgent ophthalmological assessment is critical for all patients presenting with facial burns to prevent severe visual loss and identify associated injuries.