15-10-2012, 06:52
Description
SYNONYMS
Chemical, thermal, radiation damage to the eyes.
ICD-10 CODE
T26.0. Thermal burn eyelid and periorbital region.
T26.1. Thermal burn of the cornea and conjunctival sac.
T26.2. Thermal burn leading to rupture and destruction of the eyeball.
T26.3. Thermal burn of other parts of the eye and its adnexa.
T26.4. Thermal burn of the eye and its adnexa of unspecified localization.
T26.5. Chemical burn of the eyelid and periorbital area.
T26.6. Chemical burn of the cornea and conjunctival sac.
T26.7. Chemical burn leading to rupture and destruction of the eyeball.
T26.8. Chemical burn to other parts of the eye and its adnexa.
T26.9. Chemical burn of the eye and its adnexa of unspecified localization.
T90.4. Consequence of eye injury in the periorbital region.
CLASSIFICATION
- I degree- hyperemia of various parts of the conjunctiva and limbus, superficial erosions of the cornea, as well as hyperemia of the skin of the eyelids and their swelling, slight swelling.
- II degree b - ischemia and superficial necrosis of the conjunctiva with the formation of easily removable whitish scabs, clouding of the cornea due to damage to the epithelium and superficial layers of the stroma, the formation of blisters on the skin of the eyelids.
- III degree- necrosis of the conjunctiva and cornea to the deep layers, but not more than half the surface area of the eyeball. The color of the cornea is “matte” or “porcelain”. Changes in ophthalmotonus are noted in the form of a short-term increase in IOP or hypotension. Possible development of toxic cataracts and iridocyclitis.
- IV degree- deep damage, necrosis of all layers of the eyelids (up to charring). Damage and necrosis of the conjunctiva and sclera with vascular ischemia on the surface of more than half of the eyeball. The cornea is “porcelain”, a tissue defect of more than 1/3 of the surface area is possible, in some cases a perforation is possible. Secondary glaucoma and severe vascular disorders - anterior and posterior uveitis.
ETIOLOGY
Conventionally, chemical (Fig. 37-18-21), thermal (Fig. 37-22), thermochemical and radiation burns are distinguished.
CLINICAL PICTURE
Common signs of eye burns:
- the progressive nature of the burn process after the cessation of exposure to the damaging agent (due to metabolic disorders in the tissues of the eye, the formation of toxic products and the occurrence of an immunological conflict due to autointoxication and autosensitization to the post-burn period);
- tendency to relapse inflammatory process V choroid at various times after receiving a burn;
- a tendency to the formation of synechiae, adhesions, the development of massive pathological vascularization of the cornea and conjunctiva.
- Stage I (up to 2 days) - rapid development of necrobiosis of affected tissues, excess hydration, swelling of the connective tissue elements of the cornea, dissociation of protein-polysaccharide complexes, redistribution of acidic polysaccharides;
- Stage II (2-18 days) - manifestation of pronounced trophic disorders due to fibrinoid swelling:
- Stage III (up to 2-3 months) - trophic disorders and vascularization of the cornea due to tissue hypoxia;
- Stage IV (from several months to several years) is a period of scarring, an increase in the amount of collagen proteins due to increased synthesis by corneal cells.
DIAGNOSTICS
Diagnosis is made based on history and clinical picture.
TREATMENT
Basic principles of treating eye burns:
- rendering emergency care aimed at reducing the damaging effect of the burn agent on tissue;
- subsequent conservative and (if necessary) surgical treatment.
Washing is not carried out in case of a thermochemical burn if a penetrating wound is detected!
Surgical interventions on the eyelids and eyeball early dates are carried out only for the purpose of preserving the organ. Vitrectomy of burned tissues, early primary (in the first hours and days) or delayed (after 2-3 weeks) blepharoplasty with a free skin flap or a skin flap on a vascular pedicle with a simultaneous transplantation of automucous tissue to the inner surface of the eyelids, fornix and sclera are performed.
Planned surgical interventions on the eyelids and eyeball for the consequences of thermal burns are recommended to be carried out 12-24 months after the burn injury, since against the background of autosensitization of the body, allosensitization to the graft tissue occurs.
For severe burns, it is necessary to inject 1500-3000 IU of antitetanus serum subcutaneously.
Treatment of stage I eye burns
Long-term irrigation of the conjunctival cavity (for 15-30 minutes).
Chemical neutralizers are used in the first hours after a burn. Subsequent use of these drugs is inappropriate and can have a damaging effect on the burned tissue. The following means are used for chemical neutralization:
- alkali - 2% boric acid solution, or 5% solution citric acid, or 0.1% lactic acid solution, or 0.01% acetic acid:
- acid - 2% sodium bicarbonate solution.
NSAIDs
H1 receptor blockers: chloropyramine (orally 25 mg 3 times a day after meals for 7-10 days), or loratadine (orally 10 mg once a day after meals for 7-10 days), or fexofenadine (orally 120-180 mg once a day after meals for 7-10 days).
Antioxidants: methylethylpyridinol (1% solution, 1 ml intramuscularly or 0.5 ml parabulbarly once a day, for a course of 10-15 injections).
Analgesics: metamizole sodium (50%, 1-2 ml intramuscularly for pain) or ketorolac (1 ml intramuscularly for pain).
Preparations for instillation into the conjunctival cavity
In severe conditions and early postoperative period the frequency of instillations can reach 6 times a day. As the inflammatory process decreases, the duration between instillations increases.
Antibacterial agents: ciprofloxacin ( eye drops 0.3%, 1-2 drops 3-6 times a day), or ofloxacin (eye drops 0.3%, 1-2 drops 3-6 times a day), or tobramycin 0.3% (eye drops, 1 -2 drops 3-6 times a day).
Antiseptics: picloxidine 0.05% 1 drop 2-6 times a day.
Glucocorticoids: dexamethasone 0.1% (eye drops, 1-2 drops 3-6 times a day), or hydrocortisone ( eye ointment 0.5% for the lower eyelid 3-4 times a day), or prednisolone (eye drops 0.5% 1-2 drops 3-6 times a day).
NSAIDs: diclofenac (orally 50 mg 2-3 times a day before meals, course 7-10 days) or indomethacin (orally 25 mg 2-3 times a day after meals, course 10-14 days).
Midriatics: cyclopentolate (eye drops 1%, 1-2 drops 2-3 times a day) or tropicamide (eye drops 0.5-1%, 1-2 drops 2-3 times a day) in combination with phenylephrine (eye drops 2 .5% 2-3 times a day for 7-10 days).
Stimulators of corneal regeneration: actovegin (eye gel 20% for the lower eyelid, one drop 1-3 times a day), or solcoseryl (eye gel 20% for the lower eyelid, one drop 1-3 times a day), or dexpanthenol (eye gel 5% for the lower eyelid 1 drop 2-3 times a day).
Surgery: sectoral conjunctivotomy, corneal paracentesis, conjunctival and corneal necrectomy, genoplasty, corneal biocovering, eyelid plastic surgery, lamellar keratoplasty.
Treatment of stage II eye burns
Groups of drugs that stimulate immune processes, improve the body’s utilization of oxygen and reduce tissue hypoxia are added to the treatment.
Fibrinolysis inhibitors: aprotinin 10 ml intravenously, for a course of 25 injections; instillation of the solution into the eye 3-4 times a day.
Immunomodulators: levamisole 150 mg 1 time per day for 3 days (2-3 courses with a break of 7 days).
Enzyme preparations: systemic enzymes, 5 tablets 3 times a day, 30 minutes before meals, with 150-200 ml of water, the course of treatment is 2-3 weeks.
Antioxidants: methylethylpyridinol (1% solution, 0.5 ml parabulbarly, 1 time per day, for a course of 10-15 injections) or vitamin E (5% oil solution, 100 mg orally, 20-40 days).
Surgery: layered or penetrating keratoplasty.
Treatment of stage III eye burns
The following are added to the treatment described above.
Short-acting mydriatics: cyclopentolate (eye drops 1%, 1-2 drops 2-3 times a day) or tropicamide (eye drops 0.5-1%, 1-2 drops 2-3 times a day).
Antihypertensive drugs: betaxolol (0.5% eye drops, 2 times a day), or timolol (0.5% eye drops, 2 times a day), or dorzolamide (2% eye drops, 2 times a day).
Surgery: keratoplasty for emergency indications, antiglaucomatous operations.
Treatment of stage IV eye burns
The following are added to the treatment:
Glucocorticoids: dexamethasone (parabulbar or under the conjunctiva, 2-4 mg, for a course of 7-10 injections) or betamethasone (2 mg betamethasone disodium phosphate + 5 mg betamethasone dipropionate) parabulbar or under the conjunctiva 1 time per week 3-4 injections. Triamcinolone 20 mg once a week, 3-4 injections.
Enzyme preparations in the form of injections:
- fibrinolysin [human] (400 units parabulbar):
- collagenase 100 or 500 KE (the contents of the bottle are dissolved in 0.5% procaine solution, 0.9% sodium chloride solution or water for injection). Injected subconjunctivally (directly into the lesion: adhesions, scar, ST, etc. using electrophoresis, phonophoresis, and also applied cutaneously. Before use, check the sensitivity of the patient, for which 1 KU is injected under the conjunctiva of the diseased eye and observed for 48 hours. absence allergic reaction treatment is carried out for 10 days.
Non-drug treatment
Physiotherapy, eyelid massage.
Approximate periods of incapacity for work
Depending on the severity of the lesion, it takes 14-28 days. Disability is possible if complications or loss of vision occur.
Further management
Observation by an ophthalmologist at your place of residence for several months (up to 1 year). Monitoring of ophthalmotonus, CT state, retina. If there is a persistent increase in IOP and there is no compensation with medication, antiglaucomatous surgery is possible. With the development of traumatic cataracts, removal of the cloudy lens is indicated.
FORECAST
Depends on the severity of the burn, the chemical nature of the damaging substance, the timing of the victim’s admission to the hospital, and the correctness of drug therapy.
Article from the book: .
RCHR (Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan)
Version: Archive - Clinical protocols of the Ministry of Health of the Republic of Kazakhstan - 2007 (Order No. 764)
Thermal and chemical burns unspecified location (T30)
general information
Short description
Thermal burns arise due to direct exposure of the skin to flame, steam, hot liquids and powerful thermal radiation.
Chemical burns occur as a result of exposure of the skin to aggressive substances, most often strong solutions of acids and alkalis, which can cause tissue necrosis within a short time.
Protocol code: E-023 "Thermal and chemical burns of the external surfaces of the body"
Profile: emergency
Purpose of the stage: stabilization vital important functions body
Code(s) according to ICD-10-10: T20-T25 Thermal burns of the external surfaces of the body, specified by their location
Included: thermal and chemical burns:
First degree [erythema]
Second degree [blisters] [loss of epidermis]
Third degree [deep necrosis of the underlying tissues] [loss of all layers of skin]
T20 Thermal and chemical burns of the head and neck
Included:
Eyes and other areas of the face, head and neck
Viska (regions)
Scalp (any area)
Nose (septum)
Ear (any part)
Limited to the area of the eye and its adnexa (T26.-)
Mouth and pharynx (T28.-)
T20.0 Thermal burn of head and neck, unspecified degree
T20.1 Thermal burn of the head and neck, first degree
T20.2 Thermal burn of the head and neck, second degree
T20.3 Third degree thermal burn of head and neck
T20.4 Chemical burn of head and neck, unspecified degree
T20.5 Chemical burn of the head and neck, first degree
T20.6 Chemical burn of the head and neck, second degree
T20.7 Chemical burn of the head and neck, third degree
T21 Thermal and chemical burns of the torso
Included:
Lateral abdominal wall
Anus
Interscapular region
Mammary gland
Groin area
Penis
Labia (major) (minor)
Crotch
Back (any part)
Chest walls
Abdominal walls
Gluteal region
Excluded: thermal and chemical burns:
Scapular region (T22.-)
Armpit (T22.-)
T21.0 Thermal burn of the torso, unspecified degree
T21.1 Thermal burn of the torso, first degree
T21.2 Thermal burn of the torso, second degree
T21.3 Third degree thermal burn of torso
T21.4 Chemical burn of the torso, unspecified degree
T21.5 Chemical burn of the torso, first degree
T21.6 Chemical burn of the torso, second degree
T21.7 Chemical burn of the torso, third degree
T22 Thermal and chemical burns to area shoulder girdle and upper limb, excluding wrist and hand
Included:
Scapular region
Axillary region
Arms (any part other than just the wrist and hand)
Excluded: thermal and chemical burns:
Interscapular region (T21.-)
Wrists and hands only (T23.-)
T22.0 Thermal burn of the shoulder girdle and upper limb, excluding the wrist and hand, unspecified degree
T22.1 Thermal burn of the shoulder girdle and upper limb, excluding the wrist and hand, first degree
T22.2 Thermal burn of the shoulder girdle and upper limb, excluding the wrist and hand, second degree
T22.3 Thermal burn of the shoulder girdle and upper limb, excluding the wrist and hand, third degree
T22.4 Chemical burn of the shoulder girdle and upper limb, excluding the wrist and hand, unspecified degree
T22.5 Chemical burn of the shoulder girdle and upper limb, excluding the wrist and hand, first degree
T22.6 Chemical burn of the shoulder girdle and upper limb, excluding the wrist and hand, second degree
T22.7 Chemical burn of the shoulder girdle and upper limb, excluding the wrist and hand, third degree
T23 Thermal and chemical burns of the wrist and hand
Included:
Thumb (nail)
Finger (nail)
T23.0 Thermal burn of wrist and hand, unspecified degree
T23.1 Thermal burn of the wrist and hand, first degree
T23.2 Thermal burn of the wrist and hand, second degree
T23.3 Third degree thermal burn of wrist and hand
T23.4 Chemical burn of wrist and hand, unspecified degree
T23.5 Chemical burn of wrist and hand, first degree
T23.6 Chemical burn of the wrist and hand, second degree
T23.7 Chemical burn of the wrist and hand, third degree
T24 Thermal and chemical burns hip joint And lower limb excluding ankle and foot
Included: legs (any part excluding ankle and foot)
Excludes: thermal and chemical burns of the ankle and foot only (T25.-)
T24.0 Thermal burn of the hip joint and lower limb, excluding the ankle and foot, unspecified degree
T24.1 Thermal burn of the hip joint and lower limb, excluding the ankle and foot, first degree
T24.2 Thermal burn of the hip joint and lower limb, excluding the ankle and foot, second degree
T24.3 Thermal burn of the hip joint and lower limb, excluding the ankle and foot, third degree
T24.4 Chemical burn of the hip joint and lower limb, excluding ankle and foot, unspecified degree
T24.5 Chemical burn of the hip joint and lower limb, excluding the ankle and foot, first degree
T24.6 Chemical burn of the hip joint and lower limb, excluding the ankle and foot, second degree
T24.7 Chemical burn of the hip joint and lower limb, excluding the ankle and foot, third degree
T25 Thermal and chemical burns of the ankle and foot area
Included: toe(s)
T25.0 Thermal burn of the ankle and foot area, unspecified degree
T25.1 Thermal burn of the ankle and foot area, first degree
T25.2 Thermal burn of the ankle and foot area, second degree
T25.3 Thermal burn of the ankle and foot area, third degree
T25.4 Chemical burn of the ankle and foot area, unspecified
T25.5 Chemical burn of the ankle and foot area, first degree
T25.6 Chemical burn of the ankle and foot area, second degree
T25.7 Chemical burn of the ankle and foot area, third degree
THERMAL AND CHEMICAL BURNS OF MULTIPLE AND UNSPECIFIED LOCALIZATION (T29-T32)
T29 Thermal and chemical burns to multiple areas of the body
Includes: thermal and chemical burns classified in more than one of T20-T28
T29.0 Thermal burns of several areas of the body, unspecified degree
T29.1 Thermal burns of multiple areas of the body, indicating no more than first degree burns
T29.2 Thermal burns of multiple areas of the body, indicating no more than second degree burns
T29.3 Thermal burns of multiple areas of the body, indicating at least one third degree burn
T29.4 Chemical burns of multiple areas of the body, unspecified degree
T29.5 Chemical burns of multiple areas of the body, indicating no more than first degree chemical burns
T29.6 Chemical burns of multiple areas of the body, indicating no more than second degree chemical burns
T29.7 Chemical burns to multiple areas of the body, indicating at least one third-degree chemical burn
T30 Thermal and chemical burns of unspecified location
Excluded: thermal and chemical burns with a specified area affected
Body surfaces (T31-T32)
T30.0 Thermal burn of unspecified degree, unspecified localization
T30.1 First degree thermal burn, unspecified location
T30.2 Thermal burn of second degree, unspecified location
T30.3 Third degree thermal burn, unspecified location
T30.4 Chemical burn of unspecified degree, unspecified location
T30.5 First degree chemical burn, unspecified location
T30.6 Chemical burn of second degree, unspecified location
T30.7 Third degree chemical burn, unspecified location
T31 Thermal burns classified according to body surface area affected
Note: this category should be used for primary statistical development only in cases where the location of the thermal burn is not specified; if the localization is clarified, this rubric, if necessary, can be used as an additional code with rubrics T20-T29
T31.0 Thermal burn of less than 10% of body surface
T31.1 Thermal burn of 10-19% body surface
T31.2 Thermal burn of 20-29% body surface
T31.3 Thermal burn of 30-39% body surface
T31.4 Thermal burn of 40-49% body surface
T31.5 Thermal burn of 50-59% body surface
T31.6 Thermal burn of 60-69% body surface
T31.7 Thermal burn of 70-79% body surface
T31.8 Thermal burn of 80-89% body surface
T31.9 Thermal burn of 90% or more of the body surface
T32 Chemical burns classified according to body surface area affected
Note: this category should be used for primary development statistics only in cases where the location of the chemical burn is not specified; if the localization is clarified, this rubric, if necessary, can be used as an additional code with rubrics T20-T29
T32.0 Chemical burn of less than 10% of body surface
T32.1 Chemical burn of 10-19% body surface
T32.2 Chemical burn of 20-29% of body surface
T32.3 Chemical burn of 30-39% of body surface
T32.4 Chemical burn of 40-49% body surface
T32.5 Chemical burn of 50-59% body surface
T32.6 Chemical burn of 60-69% body surface
T32.7 Chemical burn of 70-79% body surface
T31.8 Chemical burn of 80-89% body surface
T32.9 Chemical burn of 90% or more of the body surface
Classification
The severity of local and general manifestations of burns depends on the depth of tissue damage and the area of the affected surface.
The following degrees of burns are distinguished:
First degree burns - persistent hyperemia and infiltration of the skin.
Second degree burns - peeling of the epidermis and formation of blisters.
IIIa degree burns - partial necrosis of the skin with preservation of the deeper layers of the dermis and its derivatives.
IIIb degree burns - death of all skin structures (epidermis and dermis).
IV degree burns - necrosis of the skin and underlying tissues.
Determination of burn area:
1. "Rule of nine."
2. Head - 9%.
3. One upper limb - 9%.
4. One bottom surface - 18%.
5. Front and back surface bodies - 18% each.
6. Genitals and perineum - 1%.
7. The “palm” rule is conditional, the area of the palm is approximately 1% of the total surface area of the body.
Risk factors and groups
1. Nature of the agent.
2. Conditions for getting a burn.
3. Agent exposure time.
4. The size of the burn surface.
5. Multifactorial damage.
6. Ambient temperature.
Diagnostics
Diagnostic criteria
The depth of damage in a burn is determined based on the following clinical signs.
First degree burns manifested by hyperemia and swelling of the skin, as well as a burning sensation and pain. Inflammatory changes subside within a few days, the superficial layers of the epidermis peel off, and healing begins by the end of the first week.
Second degree burns are accompanied by severe swelling and hyperemia of the skin with the formation of blisters filled with yellowish exudate. Under the epidermis, which is easily removed, there is a bright pink, painful wound surface. For chemical burns of the second degree, the formation of blisters is not typical, since the epidermis is destroyed, forming a thin necrotic film, or is completely rejected.
For third degree burns At first, either a dry light brown scab forms (from flame burns) or a whitish-gray wet scab (exposure to steam, hot water). Sometimes thick-walled blisters filled with exudate form.
For IIIb degree burns dead tissue forms a scab: for flame burns - dry, dense, dark brown; for burns with hot liquids and steam - pale gray, soft, doughy consistency.
IV degree burns are accompanied by the death of tissues located under their own fascia (muscles, tendons, bones). The scab is thick, dense, sometimes with signs of charring.
At deep acid burns usually a dry, dense scab is formed (coagulative necrosis), and when affected by alkali, the scab is soft for the first 2-3 days (colliquation necrosis), gray in color, and later it undergoes purulent melting or dries out.
Electrical burns They are almost always deep (IIIb-IV degrees). Tissues are damaged at the points of entry and exit of current, on the contacting surfaces of the body along the path of the shortest passage of current, sometimes in the grounding zone, the so-called “current marks”, which look like whitish or brown spots, in place of which a dense scab is formed, as if pressed in relation to to surrounding intact skin.
Electrical burns are often combined with thermal burns, caused by an electric arc flash or ignition of clothing.
List of main diagnostic measures:
1. Collection of complaints and general therapeutic anamnesis.
2. Visual inspection general therapeutic.
3.Measurement blood pressure on peripheral arteries.
4. Pulse examination.
5. Heart rate measurement.
6. Respiration rate measurement.
7. General therapeutic palpation.
8. General therapeutic percussion.
9. General therapeutic auscultation.
List of additional diagnostic measures:
1. Pulse oximetry.
2. Registration, interpretation and description of the electrocardiogram.
Differential diagnosis
Differential diagnosis carried out based on an assessment of local clinical signs. It is quite difficult to determine the depth of the lesion, especially in the first minutes and hours after the burn, when there is an external similarity of different degrees of burn. The nature of the agent and the conditions under which the injury occurred must be taken into account. Absence of pain reaction when pricked with a needle, pulling out hair, touching the burned surface with an alcohol swab; the disappearance of the “play of capillaries” after short-term finger pressure indicates that the lesion is no less than grade IIIb. If a pattern of subcutaneous thrombosed veins can be seen under the dry scab, then the burn is reliably deep (IV degree).
With chemical burns, the boundaries of the lesion are usually clear, and streaks often form - narrow strips of affected skin extending from the periphery of the main lesion. The appearance of the burn area depends on the type chemical substance. In case of burns with sulfuric acid, the scab is brown or black, with nitric acid it is yellow-green, and with hydrochloric acid it is light yellow. In the early stages, the smell of the substance that caused the burn may also be felt.
Treatment
Treatment tactics
The goal of treatment is to stabilize the vital functions of the body.First of all, it is necessary to stop the action of the damaging agent and removevictim from the area of exposure to thermal radiation, smoke, toxic productscombustion. This is usually already done before the ambulance arrives. Soaked in hotliquid, clothing must be removed immediately.
Local hypothermia (cooling) of burned tissues immediately after cessationaction of the thermal agent contributes to the rapid reduction of interstitialtemperature, which weakens its damaging effect. For this there may bewater, ice, snow, special cooling packs were used, especially whenlimited area burns.
For chemical burns after removing clothing soaked in chemicalssubstance, and abundant washing for 10-15 minutes (if applied late, do notless than 30-40 minutes) the affected area with a large amount of running coldwater, begin to use chemical neutralizers that increaseeffectiveness of first aid. Then a dry cloth is applied to the affected areas.aseptic dressing.
| Damaging agent | Means of neutralization |
| Lime | Lotions with 20% sugar solution |
| Carbolic acid | Dressings with glycerin or lime milk |
| Chromic acid | Dressing with 5% sodium thiosulfate solution* |
| Hydrofluoric acid |
Dressings with %5 solution of aluminum carbonate or glycerin mixture and magnesium oxide |
| Borohydride compounds | Bandage with ammonia |
| Selenium oxide | Dressings with 10% sodium thiosulfate solution* |
|
Aluminum-organic connections |
Wiping the affected surface with gasoline, kerosene, alcohol |
| White phosphorus |
Bandage with 3-5% solution of copper sulfate or 5% solution potassium permanganate* |
| Acids | Sodium bicarbonate* |
| Alkalis | 1% acetic acid solution, 0.5-3% boric acid solution* |
| Phenol | 40-70% ethyl alcohol* |
| Chromium compounds | 1% hyposulfite solution |
| Mustard gas | 2% chloramine solution, calcium hypochloride* |
In case of thermal damage, clothing from burned areas is not removed, but cut and carefully removed. After this, a bandage is applied, and if it is missing, use any clean cloth. Do not clean the dressing before applying it.burnt surface from stuck clothing, remove (pierce) blisters.
To remove pain syndrome, especially with extensive burns, victimsSedatives must be administered - diazepam* 10 mg-2.0 ml IV (Seduxen, Elenium, Relanium,sibazon, valium), painkillers - narcotic analgesics (promedol(trimepyridine hydrochloride) 1%-2.0 ml, morphine 1%-2.0 ml, fentanyl 0.005%-1.0 ml IV),and in their absence - any painkillers (baralgin 5.0 ml IV, analgin 50% -2.0 IV, ketamine 5% - 2.0* ml IV) and antihistamines- diphenhydramine 1% -1.0ml* IV (diphenhydramine, diprazine, suprastin).
If the patient does not have nausea, vomiting, even if he does not have thirst, it is necessarypersuade to drink 0.5-1.0 liters of liquid.
Seriously ill patients with burns covering a total area of more than 20% of the body surface,immediately begin infusion therapy: intravenous stream of glucose-saltsolutions (0.9% sodium chloride solution*, trisol*, 5-10% glucose solution*), in volume,ensuring stabilization of hemodynamic parameters.
Indications for hospitalization:
- first degree burns of more than 15-20% of the body surface;
Second degree burns on an area of more than 10% of the body surface;
- IIIa degree burns on the areamore than 3-5% of body surface;
- burns of IIIb-IV degree;
- burns of the face, hands, feet,perineum;
- chemical burns, electrical trauma and electrical burns.
All victims who are in a state of burn shock with severe
3. *Sodium thiosulfate 30% -10.0 ml, amp.
4. *Ethyl alcohol 70% -10.0, fl.
5. *Boric acid 3%-10.0 ml, vial.
6. *Calcium hypochloride, por.
7. *Fentanyl 0.005% -1.0 ml, amp.
8. *Morphine 1% -1.0 ml, amp.
9. *Sibazon 10 mg-2.0 ml, amp.
10. * Glucose 5% -500.0 ml, vial.
11. * Trisol - 400.0 ml, fl.
* - drugs included in the list of essential (vital) medicines.
Information
Sources and literature
- Protocols for diagnosis and treatment of diseases of the Ministry of Health of the Republic of Kazakhstan (Order No. 764 of December 28, 2007)
- 1. Clinical guidelines based on evidence-based medicine: Per. from English / Ed. Yu.L. Shevchenko, I.N. Denisova, V.I. Kulakova, R.M. Khaitova. -2nd ed., revised - M.: GEOTAR-MED, 2002. - 1248 p.: ill. 2. Guide for emergency doctors medical care/ Ed. V.A. Mikhailovich, A.G. Miroshnichenko - 3rd edition, revised and expanded - SPb.: BINOM. Knowledge Laboratory, 2005.-704p. 3. Management tactics and emergency medical care in emergency conditions. Guide for doctors./ A.L. Vertkin - Astana, 2004.-392 p. 4. Birtanov E.A., Novikov S.V., Akshalova D.Z. Development of clinical guidelines and diagnostic and treatment protocols taking into account modern requirements. Guidelines. Almaty, 2006, 44 p. 5. Order of the Minister of Health of the Republic of Kazakhstan dated December 22, 2004 No. 883 “On approval of the List of essential (vital) medicines.” 6. Order of the Minister of Health of the Republic of Kazakhstan dated November 30, 2005 No. 542 “On introducing amendments and additions to the order of the Ministry of Health of the Republic of Kazakhstan dated December 7, 2004 No. 854 “On approval of the Instructions for the formation of the List of essential (vital) medicines.”
Information
Head of the Department of Emergency and Emergency Medical Care, Internal Medicine No. 2, Kazakh National Medical University named after. S.D. Asfendiyarova - Doctor of Medical Sciences, Professor Turlanov K.M.
Employees of the Department of Ambulance and Emergency Medical Care, Internal Medicine No. 2 of the Kazakh National Medical University named after. S.D. Asfendiyarova: candidate of medical sciences, associate professor Vodnev V.P.; Candidate of Medical Sciences, Associate Professor B.K. Dyusembayev; Candidate of Medical Sciences, Associate Professor Akhmetova G.D.; candidate of medical sciences, associate professor Bedelbaeva G.G.; Almukhambetov M.K.; Lozhkin A.A.; Madenov N.N.
Head of the Department of Emergency Medicine of Almaty state institute advanced training for doctors - candidate of medical sciences, associate professor Rakhimbaev R.S.
Employees of the Department of Emergency Medicine of the Almaty State Institute for Advanced Medical Studies: Candidate of Medical Sciences, Associate Professor Silachev Yu.Ya.; Volkova N.V.; Khairulin R.Z.; Sedenko V.A.
Attached files
Attention!
- By self-medicating, you can cause irreparable harm to your health.
- The information posted on the MedElement website and in the mobile applications "MedElement", "Lekar Pro", "Dariger Pro", "Diseases: Therapist's Guide" cannot and should not replace a face-to-face consultation with a doctor. Be sure to contact a medical facility if you have any illnesses or symptoms that concern you.
- The choice of medications and their dosage must be discussed with a specialist. Only a doctor can prescribe the right medicine and its dosage taking into account the disease and condition of the patient’s body.
- MedElement website and mobile applications"MedElement", "Lekar Pro", "Dariger Pro", "Diseases: Therapist's Directory" are solely information and reference resources. The information posted on this site should not be used to unauthorizedly change doctor's orders.
- The editors of MedElement are not responsible for any personal injury or property damage resulting from the use of this site.
Chemical burns to the organs of vision occur due to contact with aggressive chemicals. They lead to damage to the anterior part of the eyeball, cause unpleasant symptoms: pain, irritation and can lead to vision problems.
An eye burn is not a disease, but pathological condition, which can be eliminated if you consult an ophthalmologist in time.
List of symptoms:
- Sharp pain In eyes. But this information will help you understand why pain occurs in the eyeball when pressing.
- Redness of the conjunctiva.
- Discomfort, burning sensation, irritation.
- Increased tear production.
It is difficult not to notice chemical damage to the organ of vision. It's all about pronounced symptoms, which gradually increase.
Chemical substances act gradually. Once on the skin of the eyes, they cause irritation, but if the burn is left unattended, its manifestations will only intensify.
Aggressive reagents gradually damage the skin of the eyelids and eyes. The extent of the “injuries” inflicted and their severity can be assessed after 2–3 days. But what types of eyelid diseases there are in humans and what drops should be used are indicated in this article.
Classification of burns
The video shows a description of a chemical burn to the eye:
Clinical manifestations
- Damage to the surface of the skin of the eyelids.
- The presence of foreign substances in the tissues of the conjunctiva. But what the symptoms of eye conjunctivitis in children may be can be seen here.
- Increased intraocular pressure (ocular hypertension).
Extensive damage to the skin occurs upon contact with reagents. The substances irritate the mucous membrane, which leads to redness and irritation of the anterior parts of the eyeball. 
During an ophthalmological examination, particles of foreign substances are detected; they are clearly visible during a clinical examination. Carrying out research helps to determine which substance led to the development of damage (acid, alkali).
The reagents act on parts of the eyeball in a special way. Contact results in “desiccation” or drying out of the mucosal surface and an increase in intraocular pressure levels. But what are the symptoms of high eye pressure in adults is described in great detail in this article.
Assessing the totality of symptoms helps to make the correct diagnosis for the patient. An ophthalmologist determines the degree of burn, performs diagnostic procedures and selects adequate treatment.
ICD-10 code
- T26.5 – chemical burn and area around the eyelid;
- T26.6 – chemical burn with reagents with damage to the cornea and conjunctival sac;
- T26.7 – severe chemical burn with tissue damage leading to rupture of the eyeball;
- T26.8 – chemical burn affecting other parts of the eye;
- T26.9 - a chemical burn that affected the deep parts of the eyeball.
If the tissues of the eyeball, eyelids and conjunctiva are damaged, the patient needs first aid.
So, the principles of its provision:
Do not wash your eyes with running water or use cosmetic creams. This may increase signs of chemical exposure.
Once on the skin, the cream creates a protective shell on top, as a result of which the effect of aggressive reagents is enhanced. For this reason, it should not be applied to skin creams or other cosmetic products.
What medications can you use:
The potassium permanganate solution should be weak, it will help neutralize the effect of aggressive substances. You can dilute potassium permanganate, prepare furatsilin, or simply rinse your vision with warm, slightly salted water.
You should wash your eyes as often as possible, every 20–30 minutes. If the symptoms are severe, then you can take painkillers: Ibuprofen, Analgin or any other painkillers.
Treatment
It is advisable to consult a doctor when the first signs of a chemical burn appear. The doctor will select adequate therapy and help reduce unaccepted symptoms.
Most often the following drugs are prescribed for treatment:
Antiseptics are part of combination therapy; they stop the inflammatory process and promote the restoration of soft tissues, relieve swelling and redness.
Antibacterial drugs prescribed to relieve the inflammatory process. They promote the death of pathogenic microflora and accelerate the process of cell regeneration.
Anti-inflammatory drugs also include glucocorticosteroids; they enhance the effect of antibacterial medications and antiseptics. With regular use, they reduce the intensity of unpleasant symptoms.
Painkillers local action used in the form of drops. They help reduce the intensity of pain.
If there is an increase in the level of intraocular pressure (most often diagnosed upon contact with alkalis), then medications are used that reduce the signs of intraocular hypertension.
Medicines based on human tears. They help soften the irritated conjunctiva and reduce signs of the inflammatory process, remove swelling and partially hyperthermia of the eyelid.
List of drugs prescribed for eye burns:
Solcoseryl is available in the form of an ointment; the drug significantly speeds up the healing process and helps to avoid pronounced scarring of the tissue. And taurine as a substance “inhibits” the development of irreversible changes in the parts of the eyeball.
Timolol is the substance that ophthalmologists prefer when signs of high intraocular pressure appear.
What to do if a chemical burn to the eye occurs after eyelash extensions?
Getting burned while doing eyelash extensions occurs for several reasons. This can be caused by heat - thermal damage or chemicals (contact with the skin of the eyelids or mucous membranes of glue).
If you have problems with eyelash extensions, you should carry out the following procedures:
- rinse your eyes with a solution of potassium permanganate. But what to use to wash your eye if you get a speck of debris in it, the information in the link will help you understand.
- bury in eyeballs Taurine or any other drops to reduce the inflammatory process (you can use drugs based on human tears);
- consult a doctor for help.
If the damage is local, then contacting an ophthalmologist is necessary. Since only a doctor will be able to assess the seriousness of the situation and provide the patient with adequate assistance.
In the video there is an eye burn after eyelash extensions:
If glue gets on the skin, there is a possibility of developing blepharitis and other inflammatory diseases. To prevent this from happening, it is necessary to take appropriate measures and consult an ophthalmologist as soon as possible. But how to properly use Kosopt eye drops and what their price is can be seen in this article.
You will also need to remove the eyelash extensions, since the glue irritates the skin of the eyelids and leads to increased unpleasant symptoms.
A chemical burn to the organs of vision is a serious injury that requires immediate treatment. You can provide first aid yourself, but subsequent treatment should preferably be carried out under the supervision of a doctor.
okulist.online
Thermal and chemical burns limited to the area of the eye and its adnexa
ICD-10 → S00-T98 → T20-T32 → T26-T28 → T26.0
Thermal burn of the eyelid and periorbital area
Thermal burn of the cornea and conjunctival sac
Thermal burn leading to rupture and destruction of the eyeball
Thermal burn of other parts of the eye and its adnexa
Thermal burn of the eye and its adnexa of unspecified localization
Chemical burn of the eyelid and periorbital area
Chemical burn of the cornea and conjunctival sac
Chemical burn leading to rupture and destruction of the eyeball
Chemical burn to other parts of the eye and its adnexa
Chemical burn of the eye and its adnexa of unspecified localization
hide all | reveal everything
International statistical classification of diseases and related health problems. 10th revision.
xn---10-9cd8bl.com
ICD-10, T26, thermal and chemical burns limited to the area of the eye and its adnexa
More information about the ICD-10 classifierDate of placement in the database 03/22/2010
Relevance of the classifier: 10th revision of the International Classification of Diseases
Showing 10 entries
Home → INJURIES, POISONING AND SOME OTHER CONSEQUENCES OF EXTERNAL CAUSES → THERMAL AND CHEMICAL BURNS → THERMAL AND CHEMICAL BURNS OF THE EYE AND INTERNAL ORGANS → Thermal and chemical burns limited to the area of the eye and its appendages apparatus
| T26.0 | Thermal burn of the eyelid and periorbital area |
| T26.1 | Thermal burn of the cornea and conjunctival sac |
| T26.2 | Thermal burn leading to rupture and destruction of the eyeball |
| T26.3 | Thermal burn of other parts of the eye and its adnexa |
| T26.4 | Thermal burn of the eye and its adnexa of unspecified localization |
| T26.5 | Chemical burn of the eyelid and periorbital area |
| T26.6 | Chemical burn of the cornea and conjunctival sac |
| T26.7 | Chemical burn leading to rupture and destruction of the eyeball |
| T26.8 | Chemical burn to other parts of the eye and its adnexa |
| T26.9 | Chemical burn of the eye and its adnexa of unspecified localization |
www.classbase.ru
Search for medicines in Novosibirsk, Tomsk, Kuzbass | Pharmacy help desk 009.am
009.am - drug search service in Novosibirsk, Tomsk, Krasnoyarsk and other cities of Siberia. We are happy to provide you with our assistance - search and find medications at a competitive price at your nearest pharmacy.
We try to provide a convenient service for searching for medicines and pharmacy products.
How to find out the price of a medicine?
It’s very simple - indicate what you are looking for and click “Find”.
You can search in a list at once: using the “Make a shopping list” button, add several drugs and the results will first show pharmacies that immediately have everything you need to buy. You don't have to spend a lot of time finding several medications - buy in one place and save money.
You can only search in currently operating or 24-hour pharmacies. This is relevant when you need to buy medications at night.
For convenience, the table has a filter by product indicating the price range in pharmacies in the city. Use the filter to select drugs that suit your price.
Medicines are sorted in the table by price; in addition, on the map you can find the nearest pharmacy, check the phone number, opening hours and decide how to get to the pharmacy.
Also for some pharmacies, a medicine booking function is available. With its help, you can ask the pharmacy directly on the website to put aside a drug at your price until the end of the day, which you will buy later, for example, when returning from work.
Read the instructions for the site in order to most effectively search for medications in pharmacies in your city.
Protocol for providing medical care for thermal burns of the cornea and conjunctival sac
ICD code - 10
T 26.1
T 26.2
T 26.3
T 26.4
Signs and diagnostic criteria:
A thermal burn occurs due to exposure of tissue to a thermal factor: flame, steam, hot liquids, hot gases, light irradiation, molten metal.
The severity of the burn depends on the degree of necrosis (area and depth).
Burn degree |
Cornea |
Conjunctiva |
Islet fluorescein staining, dull surface; |
Hyperemia, islet staining |
|
| second | Easily removable film, deepithelialization, continuous coloring |
Pallor, gray films that are easily removed |
| third A | Superficial opacification of the stroma and Bowman's membrane, folds of Descemet's membrane (even while maintaining its transparency) |
Pallor and chemosis |
| third B | Deep stromal opacification, but without early changes in the iris, a sharp loss of sensitivity on the limbus |
Exposure and partial rejection of the livid sclera |
| fourth | Simultaneously with changes in the cornea up to the detachment of Descemet's membrane, depigmentation of the iris and immobility of the pupil, clouding of the moisture of the anterior chamber and lens | Melting of the exposed sclera to the vascular tract, clouding of the moisture of the anterior chamber and lens, vitreous body |
Burns are divided according to severity:
The easiest- I degree of any localization and plane
Easy- II degree of any localization and plane
Moderate- degree III - A for the cornea - outside the optical zone, for the conjunctiva and sclera - limited (up to 50% of the arch)
Heavy- degree III - B and degree IV - for the cornea - limited, but with damage to the optical zone; for the conjunctiva - widespread, more than 50% of the fornix.
For burns starting from the second degree, tetanus prophylaxis is mandatory.
Levels of medical care:
Second level - ophthalmologist of the clinic (1st degree burns)
Third level - ophthalmology hospital (starting with second degree burns), trauma center
Examinations:
1. External inspection
2. Visometry
3. Perimetry
4. Biomicroscopy
Mandatory laboratory tests:
(Urgent hospitalization, later)
1. General analysis blood
2. General urine test
3. Blood on RW
4. Blood sugar
5. Hbs antigen
Consultations with specialists according to indications:
1. Therapist
2. Surgeon - combustiologist
Characteristics of treatment measures:
First degree burn of the cornea and conjunctiva - outpatient treatment
Second degree burn of the cornea and conjunctiva - conservative treatment in hospital;
Corneal burn of III A degree - necrectomy and layered keratoplasty or superficial therapeutic transplantation of the cornea, conjunctiva - conjunctivotomy according to Pasov, Denig's operation (transplantation of the oral mucosa) in the modification of Puchkovskaya or according to Shatilova
Corneal burn of III B degree - penetrating keratoplasty, conjunctival burn - Denig's operation (transplantation of the oral mucosa) in the modification of Puchkovskaya or according to Shatilova
IV degree burns of the cornea and conjunctiva - transplantation of a piece of the oral mucosa onto the entire anterior surface of the eye and blepharorrhaphy.
Conservative treatment:
1. mydriatics
2. antibacterial drops(sulfacyl sodium, chloramphenicol, gentamicin, tobramycin, okacin, ciprolet, normax, ciprofloxacin and others) parabulbar antibiotics (gentamicin, tobramycin, carebenicillin, penicillin, netromycin, lincomycin, kanamycin, etc.) ointments (chloramphenicol, erythromycin, tetracycline, sulfacyl sodium )
3. anti-inflammatory (naklof, diklo-F, corticosteroids - in drops and parabulbar)
4. inhibitors of protility enzymes (gordox, contrical)
5. antihypertensive therapy when indicated (timolol, betoptik and others)
6. antitoxic therapy (hemodesis, intravenous rheopolyglucin)
7. antioxidant drops (emoxipine, 5% alpha-tocopherol)
8. means that regulate metabolism and trophism (taufon, sea buckthorn oil, actovegin and solcoseryl gels, retinol acetate, quinax, oftan-catachrome, kerakol and others), under the conjunctiva - ascorbic acid, ATP, riboflavin mononucleotides
9. systemic therapy - antibiotics orally, intramuscularly, intravenously; anti-inflammatory (orally - indomethacin, diclofenac, intramuscularly - Volt Arena, diclofenac); antihypertensives (diacarb, glyceryl); therapy against autosensitization and autointoxication (i.v. calcium chloride, i.m. - diphenhydramine, suprastin, orally - diphenhydramine, tavegil, suprastin); means regulating metabolism (i.m. actovegin, vitamins B1, B2, ascorbic acid); vasodilator therapy (orally - Cavinton, no-spa, a nicotinic acid, i/v - Cavinton, rheopolyglucin, i/m - nicotinic acid)
III-IV degree burns are subject to treatment at the traumatology and burn center of the Institute of Eye Diseases and Tissue Therapy named after. acad. V. P. Filatova AMS of Ukraine
Final expected result- organ-preserving effect, preservation of vision
Duration of treatment
First degree burns - 3 - 5 days
Second degree burns - 7-10 days
Third degree burns (A and B) - 2-4 weeks
Fourth degree burns - 2 months
Treatment quality criteria:
First and second degree burns - recovery
Third degree burns (A and B) - organ-preserving effect, absence of symptoms of inflammation, decreased function, which does not significantly affect performance or disability and may maintain prospects for partial restoration of function
Fourth degree burns - loss of eye, disability
Possible side effects and complications:
Eye infections, eye loss
Dietary requirements and restrictions:
No
Requirements for the regime of work, rest and rehabilitation:
Patients are disabled: first degree - 1 week, second degree - 3-4 weeks; third degree - 4-6 weeks; fourth degree - partial permanent loss of ability to work, disability. 4th degree burns require further repeated hospital treatment within a year
Disability is determined by the degree of burn, volume surgical intervention, the need for late reconstructive operations.
Chemical burns to the organs of vision occur due to contact with aggressive chemicals. They lead to damage to the anterior part of the eyeball, cause unpleasant symptoms: pain, irritation and can lead to vision problems.
Main features
An eye burn is not a disease, but a pathological condition that can be eliminated if you consult an ophthalmologist in time.
List of symptoms:
- Sharp pain in the eyes. But this will help you understand why pain occurs in the eyeball when pressed.
- Redness of the conjunctiva.
- Discomfort, burning sensation, irritation.
- Increased tear production.
It is difficult not to notice chemical damage to the organ of vision. It's all about pronounced symptoms, which gradually increase.
Chemical substances act gradually. Once on the skin of the eyes, they cause irritation, but if the burn is left unattended, its manifestations will only intensify.
Aggressive reagents gradually damage the skin of the eyelids and eyes. The extent of the “injuries” inflicted and their severity can be assessed after 2–3 days. But what are the types of eyelid diseases in humans and what drops should be used is indicated in this
Classification of burns
The video shows a description of a chemical burn to the eye:
Clinical manifestations
- Damage to the surface of the skin of the eyelids.
- The presence of foreign substances in the tissues of the conjunctiva. But what can be the symptoms of eye conjunctivitis in children, you can see
- Increased intraocular pressure (ocular hypertension).
Extensive damage to the skin occurs upon contact with reagents. The substances irritate the mucous membrane, which leads to redness and irritation of the anterior parts of the eyeball. 
During an ophthalmological examination, particles of foreign substances are detected; they are clearly visible during a clinical examination. Carrying out research helps to determine which substance led to the development of damage (acid, alkali).
The reagents act on parts of the eyeball in a special way. Contact results in “desiccation” or drying out of the mucosal surface and an increase in intraocular pressure levels. But what are the symptoms of high eye pressure in adults, are described in great detail in this
Assessing the totality of symptoms helps to make the correct diagnosis for the patient. An ophthalmologist determines the degree of burn, performs diagnostic procedures and selects adequate treatment.
ICD-10 code
- T26.5– chemical burn and area around the eyelid;
- T26.6– chemical burn with reagents with damage to the cornea and conjunctival sac;
- T26.7– severe chemical burn with tissue damage leading to rupture of the eyeball;
- T26.8– a chemical burn that affected other parts of the eye;
- T26.9- a chemical burn that affected the deep parts of the eyeball.
First aid
If the tissues of the eyeball, eyelids and conjunctiva are damaged, the patient needs first aid.
So, the principles of its provision:
Do not wash your eyes with running water or use cosmetic creams. This may increase signs of chemical exposure.
Once on the skin, the cream creates a protective shell on top, as a result of which the effect of aggressive reagents is enhanced. For this reason, you should not apply creams or other cosmetics to the skin.
What medications can you use:
The potassium permanganate solution should be weak, it will help neutralize the effect of aggressive substances. You can dilute potassium permanganate, prepare furatsilin, or simply rinse your vision with warm, slightly salted water.
You should wash your eyes as often as possible, every 20–30 minutes. If the symptoms are severe, then you can take painkillers: Ibuprofen, Analgin or any other painkillers.
Treatment
It is advisable to consult a doctor when the first signs of a chemical burn appear. The doctor will select adequate therapy and help reduce unaccepted symptoms.
Most often the following drugs are prescribed for treatment:
Antiseptics are part of combination therapy; they stop the inflammatory process and promote the restoration of soft tissues, relieve swelling and redness.
Antibacterial drugs are prescribed to relieve the inflammatory process. They promote the death of pathogenic microflora and accelerate the process of cell regeneration.
Anti-inflammatory drugs also include glucocorticosteroids; they enhance the effect of antibacterial medications and antiseptics. With regular use, they reduce the intensity of unpleasant symptoms.
Local anesthetics are used in the form of drops. They help reduce the intensity of pain.
If there is an increase in the level of intraocular pressure (most often diagnosed upon contact with alkalis), then medications are used that reduce the signs of intraocular hypertension.
Medicines based on human tears. They help soften the irritated conjunctiva and reduce signs of the inflammatory process, remove swelling and partially hyperthermia of the eyelid.
List of drugs prescribed for eye burns:
| Group of drugs: | Name: |
| Glucocorticosteroids: | Prednisolone, Hydrocortisone in ointment form. |
| Antibiotics: | Tetracycline, Erythromycin ointment |
| Antiseptics: | Sodium chloride, Potassium permanganate. |
| Anesthetics: | Dicaine solution. |
| Preparations based on human tears: | Visoptic, Vizin. |
| Drugs that reduce the manifestations of intraocular hypertension: | Acetazolamide, Timolol. |
| Medicines that accelerate regenerative processes in cells: | Solcoseryl, Taurine. |
Solcoseryl is available in the form of an ointment; the drug significantly speeds up the healing process and helps to avoid pronounced scarring of the tissue. And taurine as a substance “inhibits” the development of irreversible changes in the parts of the eyeball. , like other medications, describes in detail the dosage and frequency of use. Carefully follow the rules for using any medications!
Timolol is the substance that ophthalmologists prefer when signs of high intraocular pressure appear.
What to do if a chemical burn to the eye occurs after eyelash extensions?
Getting burned while doing eyelash extensions occurs for several reasons. This can be caused by heat - thermal damage or chemicals (contact with the skin of the eyelids or mucous membranes of glue).
If you have problems with eyelash extensions, you should carry out the following procedures:
- rinse your eyes with a solution of potassium permanganate. But the information in the link will help you understand.
- drip Taurine or any other drops into the eyeballs to reduce the inflammatory process (you can use drugs based on human tears);
- consult a doctor for help.
If the damage is local, then contacting an ophthalmologist is necessary. Since only a doctor will be able to assess the seriousness of the situation and provide the patient with adequate assistance.
Video shows an eye burn after eyelash extensions:
If glue gets on the skin, there is a possibility of developing blepharitis and other inflammatory diseases. To prevent this from happening, it is necessary to take appropriate measures and consult an ophthalmologist as soon as possible. But how to use them correctly and what their price is can be seen in this article.
You will also need to remove the eyelash extensions, since the glue irritates the skin of the eyelids and leads to increased unpleasant symptoms.
A chemical burn to the organs of vision is a serious injury that requires immediate treatment. You can provide first aid yourself, but subsequent treatment should preferably be carried out under the supervision of a doctor.
