Management of chemical ocular injuries in pediatric patients


Book Section

© Springer Science+Business Media, LLC 2016. Chemical injury to the ocular surface constitutes a hyperacute medical emergency and requires immediate evaluation and treatment. Chemical injury is one of the most common causes of eye injury in the USA in children. Alkali liquids are particularly hazardous, as they can cause saponification resulting in further tissue penetration. Expeditious assessment and treatment is essential to prevent the extensive damage that can quickly result. The management of the sequelae of chemical injury may be challenging as well, ranging from the treatment of corneal thinning or opacification to the management of the damaged ocular surface and limbal stem cell deficiency. Children may also suffer both anisometropia from induced astigmatism and/or deprivational amblyopia from corneal opacification in the injured eye. Patients are at risk for permanent vision loss without close ophthalmologic follow-up. This chapter will address the acute treatment of ocular chemical injuries as well as the management of the sequelae.

Full Text

Duke Authors

Cited Authors

  • Shieh, C; Kim, T

Published Date

  • July 27, 2016

Book Title

  • Practical Management of Pediatric Ocular Disorders and Strabismus: A Case-based Approach

Start / End Page

  • 155 - 166

International Standard Book Number 13 (ISBN-13)

  • 9781493927449

Digital Object Identifier (DOI)

  • 10.1007/978-1-4939-2745-6_16

Citation Source

  • Scopus