Traumatologie oculaire chez l’enfant

Beylerian, Marie; Denis, D.

doi:10.1016/j.perped.2020.01.019

Cited by 1 publication

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ocular burns are ocular trauma with poor anatomical and functional prognosis in the absence of early and appropriate treatment. These are diagnostic and therapeutic ophthalmological emergencies [24] [25]. In children under 12, it is more of a visual emergency, because of the risk of unilateral amblyopia [24] [25].…”

Section: Discussionmentioning

confidence: 99%

Corneal Blindness Caused by Accidental Ocular Use of Chlorhexidine (Hexz) Gel in Two Newborn Born in the Health District of Kati in Mali

Ba¹,

Sidibe²,

Bakary³

et al. 2023

OJOph

View full text Add to dashboard Cite

Introduction: Corneal opacities in children are relatively common. In children, it is urgent because of the risk of irreversible amblyopia. The causes of these blindnesses vary considerably according to the regions of the world. Chlorhexidine digluconate is a broad-spectrum antiseptic directed against gram-positive and gram-negative bacteria. It has been used as an antiseptic for more than 50 years, both in humans and in animals. However, despite these benefits, it can cause serious damage if applied to the eyes. Incidents of eye damage with 7.1% chlorhexidine have been reported to WHO across Africa. Observation: We report and write two cases of bilateral corneal blindness caused by accidental ocular use of chlorhexidine (HEXZ) GEL 7.1% in two newborns in the health district of Kati in MALI. The ophthalmological examination had revealed corneal opacity, conjunctival hyperaemia and limbic ischemia greater than 50% in 1 eye out of 4, corresponding to stage IV of the ROPPER HALL classification; 2 eyes out of 4 were at stage III and 1 eye out of 4 was at stage I of the same classification. Conclusion: It is essential to ensure correct use of chlorhexidine digluconate gel 7%. It is an antiseptic which should not be used on the ocular and auditory mucous membranes, at the risk of most often permanent burns.

show abstract

Section: Discussionmentioning

confidence: 99%