AI Article Synopsis
- Reflex lid closure can protect eyes during facial burns, but ophthalmic injuries are common and can lead to severe complications.
- A study of facial burns over two years found that out of 44 patients, 16 had ophthalmic injuries, with a notable 25% mortality rate among these cases.
- It's crucial to assess patients with facial burns for possible lethal injuries and have all ophthalmic injuries evaluated by a specialist.
Article Abstract
Reflex lid closure often protects the eyes during facial burns. Although corneal burns are uncommon, other ophthalmic injuries occur more frequently. Ophthalmic burns are usually associated with marked facial damage and possible inhalation injury. Failure to recognize and appropriately treat ophthalmic burns can lead to catastrophic sequelae. We performed a 2-year survey of all facial burns in our burn unit. Forty-four patients with thermal facial burns were identified. Sixteen patients had ophthalmic injuries. Corneal injury was detected in 13 per cent (2/16). Intubation was required in 43.75 per cent (7/16) of patients with ophthalmic injuries. Mortality was 25 per cent (4/16). We conclude that patients with facial burns severe enough to cause ophthalmic injuries may be associated with other lethal injuries, and a high index of suspicion should be maintained until all lethal injuries are ruled out. All ophthalmic injuries should be evaluated by an ophthalmologist.
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