title: Ocular injuries from shake and bake methamphetamine labs.
abstract: OBJECTIVE
  To review ocular injuries resulting from "shake and bake" methamphetamine labs.
  
  
  METHODS
  Retrospective case series of 4 patients with ocular injuries sustained from "shake and bake" lab explosions.
  
  
  RESULTS
  Four men ages 20-39 underwent complete ophthalmologic examination after an injury from a "shake and bake" methamphetamine lab explosion.The mechanism of injury was initially misrepresented in each case; the physical findings were suggestive of thermal and alkali injury. Visual acuity ranged widely from 20/20 to light perception only. Treatment in the acute setting included irrigation, pH monitoring, and intraocular pressure lowering.
  
  
  CONCLUSIONS
  Methamphetamine production by means of the"shake and bake" method can result in combined thermal and alkali ocular injury. Patients who sustain this type of injury may not accurately report the mechanism of exposure. Increased awareness of this type of ocular injury may increase the rapidity of diagnosis, avoid early misdiagnosis, and ultimately improve outcomes.
authors.forename: Annie Y
authors.initials: AY
authors.lastname: Chan
authors.forename: Scott A
authors.initials: SA
authors.lastname: Storck
authors.forename: Donald U
authors.initials: DU
authors.lastname: Stone
mesh_terms: D000328:Adult; D002057:Burns, Chemical; D000697:Central Nervous System Stimulants / Q000138:chemical synthesis; D004339:Drug Compounding / Q000009:adverse effects*; D004335:Drug and Narcotic Control / Q000379:methods; D042241:Early Diagnosis; D005107:Explosions / Q000517:prevention & control; D005131:Eye Injuries / Q000150:complications / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D006358:Hot Temperature / Q000009:adverse effects*; D006801:Humans; D013287:Illicit Drugs / Q000138:chemical synthesis; D007753:Laboratories / Q000331:legislation & jurisprudence; D008297:Male; D008694:Methamphetamine / Q000138:chemical synthesis*; D016273:Occupational Exposure / Q000331:legislation & jurisprudence / Q000517:prevention & control; D009798:Ocular Hypertension / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D007507:Therapeutic Irrigation / Q000379:methods; D016896:Treatment Outcome; D014792:Visual Acuity
chemical_list: D000697:Central Nervous System Stimulants; D013287:Illicit Drugs; D008694:Methamphetamine