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Emergency: requires immediate attention
Corneal chemical burn - External and Internal Eye
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Emergency: requires immediate attention

Corneal chemical burn - External and Internal Eye

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Contributors: Brandon D. Ayres MD, Christopher Rapuano MD, Harvey A. Brown MD, Sunir J. Garg MD, Lauren Patty Daskivich MD, MSHS
Other Resources UpToDate PubMed

Synopsis

Exposure of the cornea and conjunctiva to caustic material can be a devastating and painful ocular injury. The majority of the chemical injuries are due to basic compounds, but acid and solvent injuries are also seen. The amount of damage done to the cornea and ocular surface depends on the pH of the chemical, exposure time, and amount of exposure. Chemical injuries most commonly are seen in young males often not using adequate eye protection. The injuries also occur when contact lens wearers mistake 3% hydrogen peroxide contact lens cleaning solution (eg, Clear Care), which cannot be used directly on the eye, with multipurpose rinsing and soaking solution, which can be used directly on the eye. It is essential to initiate treatment for chemical injuries as soon as possible to minimize damage.

Patients with chemical injuries to the eye will often be in severe pain and not be able to open the affected eye(s). There will also be excessive tearing in the affected eye. In splash injuries, there are often associated chemical burns on the eyelid and face.

Codes

ICD10CM:
T26.60XA – Corrosion of cornea and conjunctival sac, unspecified eye, initial encounter

SNOMEDCT:
231945007 – Chemical injury to cornea

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Updated: 01/20/2015
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Emergency: requires immediate attention
Corneal chemical burn - External and Internal Eye
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Corneal chemical burn : Eye pain, Excessive tearing
Clinical image of Corneal chemical burn
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