Original articleGlaucoma in Patients With Ocular Chemical Burns
Section snippets
Methods
We reviewed patients seen between 1997 and 2010 at the Eye Clinics of the University of Washington (University of Washington Medical Center and Harborview Medical Center). Patients were identified by International Classification of Disease, Ninth Edition, code search for ocular burns (940.0 through 940.5). Patients with ocular chemical burns with at least 3 months of follow-up were included in the study. Although glaucoma usually is assessed though evaluation of the optic nerve and visual
Results
Twenty-nine eyes (18 patients) with ocular chemical burns were identified and met inclusion criteria (Table 1). The mean patient age was 45.4 ± 16.7 years (range, 19 to 77 years), and mean follow-up was 75 ± 47 months (median, 66 months; range, 10 to 157 months). Most patients were male (15/18; 83%) and white (15/18; 83%). Twenty-four eyes (83%) had alkali burns with a mean pH of 9.38, whereas 5 eyes (17%) had acid burns. Among eyes with alkali burns, 68% (15/22) had visual acuity of 20/200 or
Discussion
Severe ocular chemical burns remain a challenging area for both visual rehabilitation and glaucoma treatment, although improvements have been made in the management of ocular chemical burns in recent years.10, 11 Vision loss from chemical burns is not limited to the direct causative injury to the ocular surface, but may also occur as a result of acute and chronic optic nerve damage from uncontrolled IOP. Glaucoma as a result of alkali burns may be immediate or delayed.12 In 1946, Hughes
Michelle Lin is a medical student at the University of Washington School of Medicine, Seattle, Washington. She received her MPH degree from the Dartmouth Institute for Health Policy & Clinical Practice. Michelle is passionate about outcomes research, innovation and technology development in vision science. She is currently pursuing a research fellowship at the Cleveland Clinic/Cole Eye Institute.
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Cited by (0)
Michelle Lin is a medical student at the University of Washington School of Medicine, Seattle, Washington. She received her MPH degree from the Dartmouth Institute for Health Policy & Clinical Practice. Michelle is passionate about outcomes research, innovation and technology development in vision science. She is currently pursuing a research fellowship at the Cleveland Clinic/Cole Eye Institute.
Ümit Ekşioğlu is currently practicing at Department of Ophthalmology, Ankara Training and Research Hospital, Ankara, Turkey.