title: Corneoscleral Laceration and Ocular Burns Caused by Electronic Cigarette Explosions.
abstract: OBJECTIVE
  To report cases of acute globe rupture and bilateral corneal burns from electronic cigarette (EC) explosions.
  
  
  METHODS
  Case series.
  
  
  RESULTS
  We describe a series of patients with corneal injury caused by EC explosions. Both patients suffered bilateral corneal burns and decreased visual acuity, and one patient sustained a unilateral corneoscleral laceration with prolapsed iris tissue and hyphema. A review of the scientific literature revealed no prior reported cases of ocular injury secondary to EC explosions; however, multiple media and government agency articles describe fires and explosions involving ECs, including at least 4 with ocular injuries.
  
  
  CONCLUSIONS
  Given these cases and the number of recent media reports, ECs pose a significant public health risk. Users should be warned regarding the possibility of severe injury, including sight-threatening ocular injuries ranging from corneal burns to full-thickness corneoscleral laceration.
authors.affiliation: *Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO; and †Department of Ophthalmology, University of Colorado School of Medicine, Aurora, CO.
authors.forename: Grace L
authors.initials: GL
authors.lastname: Paley
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Echalier
authors.forename: Thomas W
authors.initials: TW
authors.lastname: Eck
authors.forename: Augustine R
authors.initials: AR
authors.lastname: Hong
authors.forename: Asim V
authors.initials: AV
authors.lastname: Farooq
authors.forename: Darren G
authors.initials: DG
authors.lastname: Gregory
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Lubniewski
mesh_terms: D000293:Adolescent; D001753:Blast Injuries / Q000175:diagnosis / Q000209:etiology*; D065306:Corneal Injuries / Q000175:diagnosis / Q000209:etiology*; D066300:Electronic Nicotine Delivery Systems / Q000009:adverse effects*; D005107:Explosions; D005126:Eye Burns / Q000175:diagnosis / Q000209:etiology*; D005151:Facial Injuries / Q000209:etiology; D006801:Humans; D022125:Lacerations / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012590:Sclera / Q000293:injuries*; D014792:Visual Acuity