Original Articles
Published October 31, 2018
Article Tools
Article Level Metrics
Share this article
facebook twitter linkedin


chemical Burn
Eye Injury

How to Cite

Eslami, F., Bazzazi, N., Seifrabiei, M. A., Hamidinekoo, M., & Azizkhani, L. (2018). Evaluation of Demographic Characteristics and Therapeutic Response to ocular Chemical Burn in Patients Referred to Eye Emergency Department of Farshchian Hospital in 2015-2016. Internal Medicine and Medical Investigation Journal, 3(4). https://doi.org/10.24200/imminv.v2i4.113

Evaluation of Demographic Characteristics and Therapeutic Response to ocular Chemical Burn in Patients Referred to Eye Emergency Department of Farshchian Hospital in 2015-2016

Fateme Eslami
hamedan university of medical science
Nooshin Bazzazi
Mohamad Ali Seifrabiei
Maryam Hamidinekoo
Leila Azizkhani


The chemical eye burn is one of the major emergencies in the ophthalmology that will result in irreparable complications in case of inappropriate and timely treatment in severe cases

Material and Methods:

In this cross-sectional study 250 patients with ocular chemical burn who   referred to Farshchian Hospital were enrolled. Demographic characteristic and information regarding the burn were obtained. The Hughes-Roper-Hall classification was used for grading the severity of injury. All patients reevaluated 6 weeks later after injury.


Of 250 patients with complete follow up 155 cases ( 62% ) were male and 95 cases ( 38 % ) were female. Chemical injury were more common in the 20-40 years age group ( 108 case = 43/2 % ).The most common cause of chemical injury were occupational injury( 120 case = 48 % ).

127 case (50/8 % ) of patients referred during The first hour after injury. The most common material of injury was acid in 102 cases (40/8 % ).Grade I burn was seen in 92 cases ( 36/8 % ) and grade IV in 30 cases ( 12 % ).Grading of the injury was related to the referring time after chemical burn. Severity of injury was more in alkaline burn.

In 50 % of grade IV causes the burn had alkaline origin, however only 13/3 % of acid burn had grade IV severity. ( p : 0/001)


The incidence of ocular chemical burn was approximately 2/19 % of all patients who referred to emergency ophthalmology service .According to this study ocular injury are more common in the men 20-40 years age group. The most common cause was occupational injury. Delay in referring and alkaline material were poor prognostic factor.



Jafarinasab MR, Mirdehghan A, Mohammad-Nashtaie E, Rabanikhah Z,Parchegani MR.Bina J Ophthalmol 2010; 16 (2): 130-135.

Tasman WA, Jaeger EA. Duane’s Clinical Ophthalmology, Philadelphia: Lippincott; 1994.

Kaufman HE, Barron BA, McDonald M. The cornea.2nd. Boston: Bulterworth-Heinemann; 1998.

Arffa RC. Grayson’s disease of the cornea.4th ed. St.Louis.Mosby; 1997.

Saini JS, Sharma A. Ocular chemical burns-clinical and demographic profile. Burns 1993;19:67-69.

Xiang H, Staleness L. Work-related eye injuries treated in hospital emergency department in US. Am J Industrl Med 2005;48:57-62.

Leibowitz HM, Waring GO. Corneal disorders: Clinical Diagnosis and Management. 2nd ed. Philadelphia: Saunders; 1998.

Smolin G, Thoft RA. The Cornea.Scientific foundations and clinical practice. 3rd ed. Boston: Little, Brown; 1994.

Newel FW. Ophthalmology principles and Concepts.8th ed. 1996.

Liesegana TJ, Deutsch TA, Grand MC. American Academy of Ophthalmology. San Francisco: 2002.

Kuckelkorn R, Luft I, Kottek AA, Schrage NF, Makropoulos W, Reim M. Chemical and thermal eye burns in the residential area of RWTH Aachen. Analysis of accidents in 1 year using a new automated documentation of findings.KlinMonbte Augenheilkd1993;203:34-42.

DehmordeR, DelshadH , Chemical burn , Ophthalmic nurse 1390;2:3-6

Sykes RA, Mani MM, Hiebert JM. Chemical burns: retrospective review. The J Burn Care Rehab 1986; 7:343–7.

Doull J. Toxicology: the basic science of poisons, 2nd ed. , Macmillan; 1980. p. 35.

Saydjari R, Abston S, Desai MH. Herndon DN chemical burns. J Burn Care Rehabil 1986; 7:404–8.

Can J Surg.Chemical burns. 1996; 39:205–11.

Okhravi. Manual of Primary Eye Care.1st edition.Oxford:Butterworth-Heinemann: 1997

Banta. Ocular Trauma. 1st edition.China: Saunders Elsevier; 2007

Kuhn. Ocular Traumatology.1st edition. Berlin: Springer; 2008

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.