Corneal chemical burn - External and Internal Eye
Chemical injuries are most commonly seen in young male individuals (often not using adequate eye protection) and in persons using bleach and other cleaning solutions. 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. Long-term sequelae such as corneal scarring and structural changes of the eyelid may occur.
T26.60XA – Corrosion of cornea and conjunctival sac, unspecified eye, initial encounter
231945007 – Chemical injury to cornea
Differential Diagnosis & Pitfalls