TY  - JOUR
PY  - 2022//
TI  - Ocular-periocular burns in a tertiary hospital: epidemiologic characteristics
JO  - Journal of plastic, reconstructive and aesthetic surgery
A1  - Kaplan, Aysin Tuba
A1  - Yalcin, Sibel Oskan
A1  - Günaydın, Nesrin Tutas
A1  - Kaymak, Nilüfer Zorlutuna
A1  - Gün, Raziye Dönmez
SP  - 208
EP  - 215
VL  - 76
IS  - 
N2  - PURPOSE: Ocular burns are ophthalmic emergencies that can cause devastating injuries. This study aimed to analyze the epidemiology, complications, and management of ocular-periocular burns. <br><br>METHODS: A total of 193 patients with ocular-periocular burns were admitted to our tertiary hospital from January 2018 to December 2020. The demographic characteristics of the patients, injury variables, complications, and treatments were evaluated. <br><br>RESULTS: There were 142 male (73.6%) and 51 female (26.4%) patients with a mean age of 32.53±17.75 years. The average total body surface area was 12% (range, 1-80%). Injuries were most common at work (52.3%) and home (36.3%). Thermal burns were the most common injuries (74.6%), followed by chemical (14.5%) and electrical burns (10.9%). Alkaline agents (75.0%), mainly sodium hydroxide and lime, were common in chemical burns. Superficial lid burns were significantly higher in the thermal group (p < 0.001), and grade III-IV corneal burns were significantly higher in the chemical group (p < 0.001). Various complications were developed in 50 (13%) eyes. Medical treatment only was performed in 318 (82.4%) eyes, and additional surgical treatment was performed in 64 (17.6%) eyes; however, 54 (14.0%) underwent more than one surgery. The most common complications were corneal scars (7.3%), limbal deficiency (4.1%), and ectropion (3.9%). The most frequent procedures performed were amniotic membrane transplantation (AMT) (11.9%) and tarsorrhaphy (6.7%). <br><br>CONCLUSION: Chemical burns, limbal and conjunctival ischemia, and full-thickness eyelid defects had a poor prognosis. The degree of limbal deficiency and ınjury of intraocular structures were found to have a great influence on the outcome of their visual acuity.<p />  <p>Language: en</p>
LA  - en
SN  - 1748-6815
UR  - http://dx.doi.org/10.1016/j.bjps.2022.10.049
ID  - ref1
ER  -