Chemical eye injury in remote and urgent care clinic settings.

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Australian Journal of General Practice Pub Date : 2024-12-01 DOI:10.31128/AJGP-10-23-6998

Lawrence Kwok, Andrew Burbidge

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Abstract

Background: Chemical eye injuries are potentially sight-threatening injuries, representing 10-22% of all ocular trauma presentations. Prompt assessment and management of chemical eye injuries in general practice and urgent care clinic settings can prevent patients from losing vision.

Objective: This article presents a clinically useful guide for general practitioners to support the primary management of chemical-related eye injuries, particularly in rural and regional settings. This article will first discuss the variety of chemical eye irritants found in domestic and commercial settings. It will then describe the steps for assessment of chemical-related eye injuries, methods for irrigation and post-irrigation management.

Discussion: Among chemical eye injuries occurring in rural areas, cleaning agents are the most common cause, followed by injuries from personal products, industrial agents, pesticides and herbicides, and petroleum-based products. General practitioners should conduct an initial assessment and instigate immediate management of chemical eye injuries. Advice about the pH level of substances can be obtained from the Poisons Information Centre. Chemical eye injuries coinciding with an epithelial defect or decreased vision should be reviewed by an ophthalmologist within 24 hours of the initial injury.

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偏远和紧急护理诊所环境中的化学眼损伤。

背景：化学性眼部损伤是一种潜在的威胁视力的损伤，占所有眼部外伤的10-22%。及时评估和管理化学眼损伤在一般做法和紧急护理诊所设置可以防止患者失去视力。目的：本文为全科医生提供了一个临床有用的指南，以支持化学相关眼伤的初级管理，特别是在农村和地区设置。本文将首先讨论在家庭和商业环境中发现的各种化学眼睛刺激物。然后，它将描述与化学品有关的眼部伤害的评估步骤、灌溉方法和灌溉后管理。讨论：在农村地区发生的化学眼睛伤害中，清洁剂是最常见的原因，其次是个人用品、工业用品、杀虫剂和除草剂以及石油产品造成的伤害。全科医生应进行初步评估，并建议立即处理化学性眼损伤。有关物质pH值的资料，可向毒物资讯中心查询。化学眼损伤合并上皮缺损或视力下降应在最初损伤后24小时内由眼科医生复查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Journal of General Practice Medicine-Family Practice

CiteScore

2.80

自引率

4.50%

发文量

284

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.