ALKALI AND ACID INJURIES

Question 1

Management

Answer 1

Irrigation of eyes with 1 - 3 L of NS for 30 min with bottles or eye irrigating solution

OR

Morgan lens attached to a bag of isotonic solution

Check pH by touching litmus paper to inferior conjnuctival fornix

If pH > 7.4 continue irrigation until pH remains neutral 30 min after last irrigation

After irrigation and maintenance of pH > 7.4 perform eye examination

OPHTHO CONSULT
Corneal clouding
Epithelial defect
All but minor burns

COMPLICATIONS
Scarring of cornea
Permanent vision loss
Loss of eye due to perforation

Question 2

significance and managementof chemosis

Answer 2

Chemical Conjunctivitis

Erythromycin 0.5% Ointment
Apply 1 cm ribbon to affected eye qid
5-7 days

Optho consult in 24 - 48 hrs

Question 3

DOCUMENTATION

Answer 3

CLINICAL FEATURES
pain
photophobia
vision loss

Conjunctival Injection
Blepharospasm
.