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J Burn Care Rehabil · May 1998
A retrospective study of the incidence and prevalence of thermal corneal injury in patients with burns.
- K D Boone, D E Boone, R W Lewis, and G P Kealey.
- Department of Surgery, the University of Iowa College of Medicine, Iowa City 52242-1086, USA.
- J Burn Care Rehabil. 1998 May 1; 19 (3): 216-8.
AbstractThe clinical course of thermal corneal injuries is not well described. A review of 1750 burn admissions to a regional burn center between 1979 through 1993 was done to determine the clinical course of thermal corneal injuries. Twenty-five out of 1750 burn admissions (1%) presented with a thermal corneal injury. Corneal injuries were identified with use of a fluorescein dye and a Wood's lamp. Ophthalmologic consultation was obtained for those identified. Data were analyzed with the Fisher's exact test and the unpaired two-tailed Student's t test. Patients with thermal corneal injury did not differ demographically from other patients with burn injury. Open-flame burns were the most common cause of injury. Improvement of corneal injury occurred in all survivors who had an intact globe on initial examination. Initial visual acuity was not a good predictor of outcome, and long-term complications were uncommon.
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