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  • Total Body Surface Area Burned Ocular Injury Criteria For Intervention Length of Wear Complications Outcome

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    Nald Pho
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    1. The document presents data on 10 patients ranging from 20 to 92 years old who sustained ocular burns and injuries. 2. All patients had third-degree burns to the eyelids and varying degrees of ocular thermal injury. 3. Treatment included the use of bandage contact lenses or prosthetic eyes for periods ranging from 6 days to 2.5 years, with varying outcomes that included corneal perforation, infiltrates, optic neuropathy, and in some cases death.

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    1. The document presents data on 10 patients ranging from 20 to 92 years old who sustained ocular burns and injuries. 2. All patients had third-degree burns to the eyelids and varying degrees of ocular thermal injury. 3. Treatment included the use of bandage contact lenses or prosthetic eyes for periods ranging from 6 days to 2.5 years, with varying outcomes that included corneal perforation, infiltrates, optic neuropathy, and in some cases death.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views1 page

    Total Body Surface Area Burned Ocular Injury Criteria For Intervention Length of Wear Complications Outcome

    Uploaded by

    Nald Pho
    1. The document presents data on 10 patients ranging from 20 to 92 years old who sustained ocular burns and injuries. 2. All patients had third-degree burns to the eyelids and varying degrees of ocular thermal injury. 3. Treatment included the use of bandage contact lenses or prosthetic eyes for periods ranging from 6 days to 2.5 years, with varying outcomes that included corneal perforation, infiltrates, optic neuropathy, and in some cases death.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Age

    (yrs)

    Total Body Surface Area Burned


    45

    Patient
    1 2 3 4 5 6 7 8 9 10

    Ocular Injury

    Criteria for Intervention

    Length of Wear

    Complications

    Outcome

    37

    Third-degree burns with severe thermal injury in the right eye Third-degree burns to all eyelids Third-degree burns to all eyelids Third-degree burns to all eyelids Third-degree burns to all eyelids Third-degree burns to all eyelids Third-degree burns to all eyelids Fourth-degree burns to right upper and lower lids with ocular thermal injury Third-degree burns to all eyelids Third-degree burns to all eyelids

    Exposure keratopathy; epithelial defect in the left eye Exposure keratopathy; bilateral infiltrates Exposure keratopathy in the right eye Exposure keratopathy in both eyes Exposure keratopathy with infiltrate in the left eye Exposure keratopathy in both eyes Exposure keratopathy with epithelial defect in the left eye Exposure keratopathy in the right eye Exposure keratopathy in both eyes Exposure keratopathy; epithelial defects in both eyes

    8 hrs/day x 10 days

    Corneal perforation in the right eye from injuriesemergent PK with fortified antibiotics MDR Acinetobacter & Pseudomonas infiltrates Placed in prone positiondifficult to examine and replace BOSP None Distance vision with custom BOSP:

    Deceased 20/30 in the right eye, 20/70 in the left eye Deceased

    24

    34

    8 hrs/day x 14 days 24 hrs/day in the right eye for 2 weeks 2022 hrs/day in both eyes for 2.5 years 12 hrs/day with fortified antibiotics in the left eye for 2 months; ProKera nightly in both eyes 12 hrs/day x 6 days 12 hrs/day; ProKera nightly in both eyes x 7 days 2022 hrs/day in the right eye x 6 days Intermittently for 5 months20 hrs/day when worn 20 hrs/day for 5 weeks in the right eye, & 20 hrs/day for 4 weeks in the left eye

    52

    65

    20

    55

    20/20 in both eyes infiltrate resolved; best uncorrected near vision 20/50 in both eyes 20/20 in both eyes Deceased Distance vision with correction: 20/40 in the right eye Healthy corneal surface, patient in vegetative state Compressive optic neuropathy in the right eye, unknown acuity

    21

    85

    MDR Pseudomonas & MRSA

    25 22

    83 92

    None Epithelial defect healed after BOSP; infiltrate in the left eye after ProKera nightly Temporarilly unable to continue wear secondary to severe chemosis Left corneal infiltrate after BOSP removal caused epithelial defect None

    23

    52

    34

    95

    37

    48

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