Bilateral ocular thermal burn due to battery explosions: a case report

Main Article Content

Nyoman Brahmani Pitanatri
Ni Made Suryanadi

Keywords

ocular burn, thermal, explosions

Abstract

Background: Ocular burns are one of the most common eye emergencies and can cause visual impairment. Ocular burns are classified into chemical burns and thermal burns according to their etiology. Although thermal burn is less common than chemical burn, it can also cause loss of vision function if not treated properly.


Case Presentation: A 48-year-old man complaining of burns to his eyes and blurred vision due to battery explosions. He complained of moderate periorbital pain, decreased vision on both eyes, and difficulty opening his eyes suddenly after the explosions. The patient's eyes were irrigated bilaterally with 500 ml normal saline each eye as initial treatment and given topical antibiotic and steroid, artificial tears, oral antibiotics, and analgetic. The patient was discharged and advised to have a follow-up visit to an ophthalmologist within 72 hours.


Conclusion: Immediate irrigation is important after thermal burns. Initial evaluation and management of ocular burns are important in preventing severe injury. With prompt treatment and early ophthalmologic intervention, thermal burns generally have good visual outcomes.

Abstract 58 | pdf Downloads 59

References

1. Mashige K. Chemical and thermal ocular burns: a review of causes, clinical features and management protocol. S Afr Fam Pract. 2016; 58(1): 1–4. DOI: 10.1080/20786190.2015.1085221
2. Merle H, Gérard M, Schrage N. Brûlures oculaires [Ocular burns]. J Fr Ophtalmol. 2008 Sep;31(7):723-34.
3. Sarabahi S, Kanchana K. Management of ocular and periocular burns. Indian J Burns 2014;22:22-32.
4. Pradana, P.A.S., Yuliawati, P., Djelantik, A.A.A.S., Manuaba, I.B.P., Triningrat, A.A.M.P., Utari, N.M.L. 2017. Karakteristik Pasien Trauma Okuli Di Rsup Sanglah Denpasar Pada Bulan Juli 2011–Februari 2015. Medicina 48(3): 174-180. DOI:10.15562/medi.v48i3.148
5. Bates A, Zanaboni A. Ocular Burns. [Updated 2020 Aug 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459221/
6. Kuckelkorn R, Schrage N, Keller G, Redbrake C. Emergency treatment of chemical and thermal eye burns. Acta Ophthalmol Scand. 2002; 80(1): 4–10
7. Fish R, Davidson RS. Management of ocular thermal and chemical injuries, including amniotic membrane therapy. Curr Opin Ophthalmol. 2010 Jul;21(4):317-21.
8. Friedstat J, Brown DA, Levi B. Chemical, Electrical, and Radiation Injuries. Clin Plast Surg. 2017 Jul;44(3):657-669.
9. Shahid SM, Harrison N. Corneal abrasion: assessment and management. InnovAiT. 2013;6(9):551-554. DOI:10.1177/1755738012467981
10. Calder, L. A., Balasubramanian, S., & Fergusson, D. (2005). Topical nonsteroidal anti-inflammatory drugs for corneal abrasions: meta-analysis of randomized trials. Academic Emergency Medicine, 12(5): 467–473. DOI: 10.1197/j.aem.2004.10.026
11. Chen, J., Lan, J., Liu, D., Et Al. Ascorbic Acid Promotes The Stemness Of Corneal Epithelial Stem/Progenitor Cells And Accelerates Epithelial Wound Healing In The Cornea. Stem Cells Translational Medicine. 2017;6:1356–1365