각막의 화학손상에 대한 임상적 고찰

• 영문명: Clinical Feature of Chemical Corneal Injuries
• 발행기관: 대한안과학회
• 저자명: 이승우 김홍균 김광수 강정훈,Seung-Woo Lee, M.D., Hong-Kyun Kim, M.D., Kwang-Soo Kim, M.D. Jung-Hun Kang, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume46,number9, 1447~1453쪽, 전체 7쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2005.09.30

영문 초록

Purpose: To establish a treatment regimen and preventive measures through clinical study and demographic profile of chemical corneal injury cases. Methods: The records of all patients presenting with chemical corneal injuries from January 1 1997 to December 31 2003 were evaluated. One hundred forty-three chemical corneal injuries in seventy-eight patients presenting to the Dongguk University Hospital were analyzed. Patients was divide into three groups in accordance to occupation (Group I, farmer, Group Ⅱ, directly chemical-agents exposure occupation, Group Ⅲ, others). The records were examined to extract information about age, sex, extent of injury, chemical substances involved, place of injury, delay time of arrival at hospital and visual acuity. Classification of corneal burns was scored according to Roper-Hall.1 Results: The patient consisted of 63 males (80.8%) and 15 females (19.2%), with a mean age of 39.21±13.27 years. The most common agent causing corneal injuries was pesticide, followed NaOH. Ninety-eight (68.5%) eyes showed Grade 1 burns, 27 (18.9%) eyes showed Grade 2, 15 (9.1%) eyes Grade 3 and 5 (3.5%) Grade 4. The severity of chemical corneal burn and deterioration of the visual acuity was more severe in group Ⅱ than in the other groups. Conclusions: Chemical ocular injuries may lead to serous visual impairment. Therefore, proper education for appropriate handling of chemicals to prevent the accidents is important.

키워드

Chemical corneal injury, Occupation