| 4 | Acute management of ocular chemical injury using a combination eyelid retraction and irrigation instrument显示文摘Dear Editor,Accounting for up to 36,000 emergency department visits annually in the United States,chemical ocular burns are a common ophthalmic injury presenting to emergency and urgent care settings.1 Exposure to acids and alkalis can cause serious and irreversible ocular morbidity.2 Early intervention may limit tissue damage and preserve vision.Management recommendations include prompt irrigation until the conjunctival fornix pH returns to physiologic levels and continued monitoring of pH once stable.2,3 Eyelid retraction and eversion is suggested to eliminate offending agents in recessed ocular tissues(the conjunctival fornix and palpebral conjunctiva)and to flush out potentially embedded foreign bodies.Irrigation following chemical injury may be complicated by patient cooperation and user skill.4,5 Current available devices used for ocular irrigation have their limitations.For instance,a large volume syringe is often the only available irrigation device after chemical exposure on the front line.3,6 This alone does not facilitate the eyelid retraction necessary to confidently irrigate the conjunctival fornices and palpebral conjunctiva.Residual chemicals may prolong exposure and increase the risk of severe ocular injury and visual disability.5,9,10 While effective techniques and timely irrigation mitigates the potential for permanent damage after chemical exposure,it is clear there are unmet needs in the management of ocular burns. | William R.Bloom Jay P.Mathias Srinivas Sai A.Kondapalli | 2021 | Advances in Ophthalmology Practice and Research2021，1，1： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员