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Journal of Ophthalmology
Volume 2014, Article ID 196827, 9 pages
http://dx.doi.org/10.1155/2014/196827
Review Article

The Ocular Surface Chemical Burns

1Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL 60612, USA
2Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Received 3 April 2014; Accepted 15 June 2014; Published 1 July 2014

Academic Editor: Samuel Yiu

Copyright © 2014 Medi Eslani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Ocular chemical burns are common and serious ocular emergencies that require immediate and intensive evaluation and care. The victims of such incidents are usually young, and therefore loss of vision and disfigurement could dramatically affect their lives. The clinical course can be divided into immediate, acute, early, and late reparative phases. The degree of limbal, corneal, and conjunctival involvement at the time of injury is critically associated with prognosis. The treatment starts with simple but vision saving steps and is continued with complicated surgical procedures later in the course of the disease. The goal of treatment is to restore the normal ocular surface anatomy and function. Limbal stem cell transplantation, amniotic membrane transplantation, and ultimately keratoprosthesis may be indicated depending on the patients’ needs.