Eye Burns

Thermal burns The blink reflex usually causes the closing of the eye in response to a thermal stimulus. Sun burns are more likely to affect the eyelid, and less the conjunctiva or the cornea. The burnt lids should be thoroughly cleaned with sterile isotonic saline solution before then an antimicrobial ointment (z. B. Bacitracin 2 times a day) is applied. Most burns that affect the conjunctiva or cornea, are mild and resolve without significant sequelae. They are treated with oral analgesics (paracetamol with or without oxycodone), cycloplegic mydriatics (eg., 5% homatropine 4 times a day) and topical ophthalmic antibiotics, eg. B. Bacitracin / polymyxin B ointment or ointment containing 0.3% sodium ciprofloxacin 4 times daily for 3-5 days. Burns burns of the cornea or conjunctiva can be very serious, especially when it comes to strong acids or bases. Alkaline burns are heavier than acid burns normally. Tips and risks burns of the cornea and conjunctiva are a real emergency, the treatment must be done immediately. Such injuries should be with large amounts of water or, if possible, rinsed with isotonic saline. The eye can with a drop proxymetacaine (Proparakain-POS® 0.5%) are stunned, but should also not delay the rinsing and last for at least 30 minutes. The rinsing can be facilitated by the use of an irrigation glass, which is held under the eyelids. When burns with acids and bases rinses are recommended over 1-2 hours by some experts, while others measure the pH of the conjunctiva with Nitrazinpapier (a paper that can measure very accurately within a certain range), then till the normalization to rinse the pH. As the eye rinsed © Elsevier Inc. All rights reserved. This video is personal information. The users to copy, reproduce, license, subscribe, sell, rent or distribution is prohibited by this video. var model = {videoId: ‘4536670891001’, playerId ‘H1xmEWTatg_default’, imageUrl ‘http://f1.media.brightcove.com/8/3850378299001/3850378299001_4536735504001_4536670891001-vs.jpg?pubId=3850378299001&videoId=4536670891001’, title: ‘Just as the eye is flushed’ description: ” credits’ © Elsevier Inc. All rights reserved. This video is personal information. The users to copy, reproduce, license, subscribe, sell, rent or distribution is prohibited by this video ‘, hideCredits: true hideTitle: false, hideDescription: true loadImageUrlWithAjax: true};. var panel = $ (MManual.utils.getCurrentScript ()) Closest ( ‘video element panel..’); ko.applyBindings (model, panel.get (0)); After rinsing the conjunctival sulcus should be with a swab wiped to still remove hidden chemicals and wipe out any particles that are still in the tissue. The upper envelope fold is exposed through a double Augenlidumstülpung. For this, the eyelid is turned inside out first, then inserted a swab under the upturned lid and finally folded up, sodasss the fornix is ??seen. The chemical is suspected iritis with photophobia (eye pain deep under exposure) in patients who will develop hours or days after a chemical burn and diagnosed by flickering and the find of leukocytes into the anterior chamber during slit lamp examination. A chemical iritis is treated by instillation of a long-acting Zykloplegikums (eg. As a single dose of 2% or 5% or 0.25% strength Homatropinlösung Skopolaminlösung). Because topical corticosteroids may cause a perforation of the cornea after contact, they should be administered only by an ophthalmologist. Epithelial defects of the cornea are treated by applying an antibiotic ointment (eg. B. Erythromycin 0.5%) 4 times a day until they are cured (eg., About 3-5 days at slight burns). After an initial rinsing no topical anesthetics should be applied. Severe pain can be treated with acetaminophen with or without oxycodone. Severe burns require treatment by an ophthalmologist to get the visual acuity and prevent more serious complications such as uveitis, Bulbusperforation and Liddeformierungen. Patients with severe conjunctival hyperemia, ciliary injection (prominent conjunctival injection around the limbus), skipjack photophobia (ie not only sensitivity to light), avascular areas of the conjunctiva or loss of conjunctival or corneal epithelium with fluorescein staining should (as soon as possible no later than 24 be examined by an ophthalmologist hours after exposure).

Health Life Media Team

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