title: Ophthalmic thermal injuries.
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.
authors.affiliation: Medical College of Virginia, Richmond, USA.
authors.forename: K A
authors.initials: KA
authors.lastname: Lipshy
authors.forename: W E
authors.initials: WE
authors.lastname: Wheeler
authors.forename: D E
authors.initials: DE
authors.lastname: Denning
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002053:Burn Units / Q000706:statistics & numerical data; D002056:Burns / Q000453:epidemiology*; D002059:Burns, Inhalation / Q000453:epidemiology; D002648:Child; D065306:Corneal Injuries; D005131:Eye Injuries / Q000453:epidemiology*; D005151:Facial Injuries / Q000453:epidemiology; D006801:Humans; D007442:Intubation, Intratracheal / Q000706:statistics & numerical data; D008875:Middle Aged; D012189:Retrospective Studies; D013022:South Carolina / Q000453:epidemiology; D015996:Survival Rate; D014768:Virginia / Q000453:epidemiology; D014903:West Virginia / Q000453:epidemiology