Ocular chemical burns in the workplace: Epidemiological characteristics

Quesada, Jesús Moreno-Arrones; Lloves, Jesús Merayo; Varillas‐Delgado, David

doi:10.1016/j.burns.2019.11.007

Cited by 30 publications

(30 citation statements)

References 23 publications

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“…Under these professional circumstances, we observed that products for cleaning, maintenance, scouring and descaling are more frequent in a professional environment. This is fully consistent with the results from Quesada et al [14], which found that the service and construction sectors were the most affected (62.1% and 20.9% of cases, respectively). This is in accordance with the fact that products for an almost exclusively professional usage are also causes of average or severe damage: 1 case in 5 for the materials and products for using and treating construction materials (glues and solvents, moss and lichen removal), 22.5% of cases for surface disinfectants (22.5% of PSS 2 cases), even almost three quarters (71.4%) of cases of exposure to disinfectants for milking equipment and also the involvement of a concentrated product in 72.7% of cases of average exposure to household bleach.…”

Section: Accepted Manuscriptsupporting

confidence: 92%

“…On the other hand, contrary to what was found in the literature, we found a majority of men only in cases of considerable severity (PSS 3) [8,13]. In a recent Spanish study, chemical burns represented 12.7% of ocular damage at the workplace and 11.9% of keratoconjunctivitis cases [14]. Under these professional circumstances, we observed that products for cleaning, maintenance, scouring and descaling are more frequent in a professional environment.…”

Section: Accepted Manuscriptcontrasting

confidence: 86%

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Agents Involved and Severity of Acute Ocular Exposure Reported at a Poison Control Center

Roux

Buisset

Leruez

et al. 2020

Ophthalmic Epidemiology

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Purpose. Knowing the use categories of the products involved and on the circumstances of exposure, the aim was to identify severity factors useful in the initial management of patients in case of acute ocular exposure. Methods.A retrospective study over a one-year period, on patients having used a poison center for eye exposure to a chemical substance. Results.In one year, patients were concerned. The sex ratio (M/F) was 0.8. The mean age was 28.5 ± 20.3 years. Among children, those under 4 years represented the most significant age category (n= 277; 50.1%). Exposure to chemicals were mild (n= 1342, 84.8%). Adults over 65 years appeared to be more likely to have more severe ocular damage (OR: 4.75; [2.26; 9.98]). Unintentional exposures were the most frequent (n= 1548; 97.8%). Ocular exposure primarily occurred at home (n= 937; 59.2%) then at work (n= 396; 25%), but with a higher risk of severe injury (OR: 2.93 [2.16; 3.97]). Cleaning products accounted for 31.2% of exposure cases (n= 457).Exposure to disinfectants appears to be a risk factor in more severe injuries (OR: 1.48 [1.002; 2.19] p = 0.0472). PH and severity of injuries were not statistically associated. Conclusions.Our study showed the very wide variety in products involved in ocular exposures. Taking into account severity found, specific attention should be made by clinician on some of them like extreme ages, working exposure, and products like disinfectant and not only acid vs. base.

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Section: Accepted Manuscriptsupporting

confidence: 92%

Section: Accepted Manuscriptcontrasting

confidence: 86%

Agents Involved and Severity of Acute Ocular Exposure Reported at a Poison Control Center

Roux

Buisset

Leruez

et al. 2020

Ophthalmic Epidemiology

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“…[18] In the study of Quesada et al ocular chemical burns were the second most common workplace eye injury with 68.54% of men and 31.45% females getting affected. [19] The largest proportion of chemical eye injuries were seen in women in cleaning and kitchen jobs which results from splashing and spraying of liquids [20]. The cause has been attributed to, limited training.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Ocular, Adnexal and Orbital Trauma at Different Tertiary Care Centers of Karachi.

Qidwai

Alkhairy

Masood

2021

Preprint

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Purpose:To assess the incidence of ocular trauma resulting from various inciting agents presenting at three large centers of Karachi, Pakistan.Method:Patients with ocular trauma were recruited at the three centers over a period of three months, in this study. Any other ocular disease was excluded. After informed consent, history and examination was done. A proforma was filled for every patient. The various inciting agents were identified and incidence of the different types of ocular damage found. Trauma scoring was also done according to the Ocular Trauma Score.Results:A total of 343 patients with trauma presenting at different tertiary centres including DIMC 38 (11%), JPMC 150 (44%) and IPIO 155 (45%). Male predominance was found overall. Patients presented with different forms of injuries at the three centers. Commonest presentation at IPIO was of keratitis, at JPMC of road traffic accidents and at DIMC of corneal and conjunctival foreign body impaction. Most of the patients fell at grade 5 of Ocular Trauma Score.Conclusion:This study showed that the type of inciting agents were different at the three centers respective to their location, surrounding workplaces and the authority of the hospital to attend to medicolegal cases.

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“…Alkaline substances are more damaging to the eye than acidic substances because they have the inherent ability to penetrate the ocular structures due to their hydrophilic and lipophilic properties [ 5 , 9 ]. The deleterious effect of caustication depends on the nature and type of substance involved, as well as the length of time the substance was in contact with the eye [ 10 ], being the extent of ocular surface damage one of the most important prognostic factors for the visual outcome [ 1 , 2 , 9 , 11 , 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Fibrin-Plasma Rich in Growth Factors Membrane for the Treatment of a Rabbit Alkali-Burn Lesion

Sánchez-Ávila

Vázquez

Chacón

et al. 2021

IJMS

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The purpose of this work is to describe the use of Fibrin-Plasma Rich in Growth Factors (PRGF) membranes for the treatment of a rabbit alkali-burn lesion. For this purpose, an alkali-burn lesion was induced in 15 rabbits. A week later, clinical events were evaluated and rabbits were divided into five treatment groups: rabbits treated with medical treatment, with a fibrin-PRGF membrane cultured with autologous or heterologous rabbit Limbal Epithelial Progenitor Cells (LEPCs), with a fibrin-PRGF membrane in a Simple Limbal Epithelial Transplantation and with a fibrin-PRGF membrane without cultured LEPCs. After 40 days of follow-up, corneas were subjected to histochemical examination and immunostaining against corneal or conjunctival markers. Seven days after alkali-burn lesion, it was observed that rabbits showed opaque cornea, new blood vessels across the limbus penetrating the cornea and epithelial defects. At the end of the follow-up period, an improvement of the clinical parameters analyzed was observed in transplanted rabbits. However, only rabbits transplanted with cultured LEPCs were positive for corneal markers. Otherwise, rabbits in the other three groups showed positive staining against conjunctival markers. In conclusion, fibrin-PRGF membrane improved the chemically induced lesions. Nonetheless, only fibrin-PRGF membranes cultured with rabbit LEPCs were able to restore the corneal surface.

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Ocular chemical burns in the workplace: Epidemiological characteristics

Cited by 30 publications

References 23 publications

Agents Involved and Severity of Acute Ocular Exposure Reported at a Poison Control Center

Agents Involved and Severity of Acute Ocular Exposure Reported at a Poison Control Center

Incidence of Ocular, Adnexal and Orbital Trauma at Different Tertiary Care Centers of Karachi.

Fibrin-Plasma Rich in Growth Factors Membrane for the Treatment of a Rabbit Alkali-Burn Lesion

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