Chemical Injuries Flashcards
Which more dangerous
Alkaline
Which more common
Alkaline
Why is alkaline more dangerous than acids
Because it acts deeply by causing liquefactive necrosis, which leads to **deep damage-kk
What is the damage of acids to the cornea
It causes immediate coagulation necrosis in the superfacial tissue
This effect prevents the acid from penetrating deep
(Superfacial damage)
Management of chemical injury of eye
irrigation
topical anesthesia
specific antidote
Analgesia
Steroid(prevents scar)
Vit C
Diamox or acetazolmide
Debridement
Other durgs used in chemical injury
Atropine and topical cortisone therapy
Tetracycline (–inflammation)
Citric acid
Antidote for alkali
Weak acid (Boric acid 4%)
Antidote of acid
Weak alkaline (Sodium bicarbonate 3%)
Surgical treatment
Penetrating keratoplasty
Amniotic membrane grafts (bunk)
Complications of chemical injury
Glaucoma
Corneal opacity
Symblepharon
Entropion
Ectropion
Dry eye