Template:Caustic ocular exposure managment - Revision history

Ostermayer: Marked this version for translation

2026-01-27T15:47:29Z

Marked this version for translation

← Older revision		Revision as of 15:47, 27 January 2026
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	===[[Special:MyLanguage/Caustic keratoconjunctivitis\|Caustic Ocular Exposure Management]]===		===[[Special:MyLanguage/Caustic keratoconjunctivitis\|Caustic Ocular Exposure Management]]=== <!--T:1-->

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	*Eye irrigation		*Eye irrigation
	**Immediate irrigation is the most important treatment for caustic ocular injury, and should be started before comprehensive evaluation		**Immediate irrigation is the most important treatment for caustic ocular injury, and should be started before comprehensive evaluation

Ostermayer at 15:47, 27 January 2026

2026-01-27T15:47:20Z

← Older revision		Revision as of 15:47, 27 January 2026
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Ostermayer: Prepared the page for translation

2026-01-27T15:47:01Z

Prepared the page for translation

← Older revision		Revision as of 15:47, 27 January 2026
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	===[[Caustic keratoconjunctivitis\|Caustic Ocular Exposure Management]]===		<languages/>
			<translate>

			===[[Special:MyLanguage/Caustic keratoconjunctivitis\|Caustic Ocular Exposure Management]]===

	*Eye irrigation		*Eye irrigation
	**Immediate irrigation is the most important treatment for caustic ocular injury, and should be started before comprehensive evaluation		**Immediate irrigation is the most important treatment for caustic ocular injury, and should be started before comprehensive evaluation
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	**Evert both lids, remove any visible particulate matter with cotton-tipped applicator		**Evert both lids, remove any visible particulate matter with cotton-tipped applicator
	*Anesthesia		*Anesthesia
	**Topical anesthetic (e.g. [[tetracaine]]) to help with discomfort.		**Topical anesthetic (e.g. [[Special:MyLanguage/tetracaine\|tetracaine]]) to help with discomfort.
	**Other options include cycloplegics (e.g. [[atropine]], [[cyclopentolate]]), IV/IM/PO [[analgesia\|analgesics]]		**Other options include cycloplegics (e.g. [[Special:MyLanguage/atropine\|atropine]], [[Special:MyLanguage/cyclopentolate\|cyclopentolate]]), IV/IM/PO [[Special:MyLanguage/analgesia\|analgesics]]
	*[[Antibiotics]]		*[[Special:MyLanguage/Antibiotics\|Antibiotics]]
	**[[Erythromycin]] ophthalmic ointment QID for minor burns		**[[Special:MyLanguage/Erythromycin\|Erythromycin]] ophthalmic ointment QID for minor burns
	**Topical [[fluoroquinolone]] for more severe burns		**Topical [[Special:MyLanguage/fluoroquinolone\|fluoroquinolone]] for more severe burns
	*Control inflammation		*Control inflammation
	**[[Topical steroids]] - [[prednisolone]] 1% ophthalmic QID for 1 week<ref>Dohlman, C.H., F. Cade, and R. Pfister, Chemical burns to the eye: paradigm shifts in treatment. Cornea, 2011. 30(6): p. 613-4.</ref>		**[[Special:MyLanguage/Topical steroids\|Topical steroids]] - [[Special:MyLanguage/prednisolone\|prednisolone]] 1% ophthalmic QID for 1 week<ref>Dohlman, C.H., F. Cade, and R. Pfister, Chemical burns to the eye: paradigm shifts in treatment. Cornea, 2011. 30(6): p. 613-4.</ref>
	**Limit topical steroid use to 10 days to avoid corneal breakdown.<ref>Donshik, P.C., et al., Effect of topical corticosteroids on ulceration in alkali-burned corneas. Archives of ophthalmology, 1978. 96(11): p. 2117-20.</ref>		**Limit topical steroid use to 10 days to avoid corneal breakdown.<ref>Donshik, P.C., et al., Effect of topical corticosteroids on ulceration in alkali-burned corneas. Archives of ophthalmology, 1978. 96(11): p. 2117-20.</ref>
	*Ophthalmology consultation for all but minor burns (Severe exposures may require debridement or other surgical intervention)		*Ophthalmology consultation for all but minor burns (Severe exposures may require debridement or other surgical intervention)
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ClaireLewis at 16:07, 5 October 2019

2019-10-05T16:07:18Z

← Older revision		Revision as of 16:07, 5 October 2019
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	*Anesthesia		*Anesthesia
	**Topical anesthetic (e.g. [[tetracaine]]) to help with discomfort.		**Topical anesthetic (e.g. [[tetracaine]]) to help with discomfort.
	**Other options include cycloplegics (e.g. [[atropine]], [[cyclopentolate]]), IV/IM/PO analgesics		**Other options include cycloplegics (e.g. [[atropine]], [[cyclopentolate]]), IV/IM/PO [[analgesia\|analgesics]]
	*[[Antibiotics]]		*[[Antibiotics]]
	**[[Erythromycin]] ophthalmic ointment QID for minor burns		**[[Erythromycin]] ophthalmic ointment QID for minor burns
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	**[[Topical steroids]] - [[prednisolone]] 1% ophthalmic QID for 1 week<ref>Dohlman, C.H., F. Cade, and R. Pfister, Chemical burns to the eye: paradigm shifts in treatment. Cornea, 2011. 30(6): p. 613-4.</ref>		**[[Topical steroids]] - [[prednisolone]] 1% ophthalmic QID for 1 week<ref>Dohlman, C.H., F. Cade, and R. Pfister, Chemical burns to the eye: paradigm shifts in treatment. Cornea, 2011. 30(6): p. 613-4.</ref>
	**Limit topical steroid use to 10 days to avoid corneal breakdown.<ref>Donshik, P.C., et al., Effect of topical corticosteroids on ulceration in alkali-burned corneas. Archives of ophthalmology, 1978. 96(11): p. 2117-20.</ref>		**Limit topical steroid use to 10 days to avoid corneal breakdown.<ref>Donshik, P.C., et al., Effect of topical corticosteroids on ulceration in alkali-burned corneas. Archives of ophthalmology, 1978. 96(11): p. 2117-20.</ref>
	*~~Ophthomology~~ consultation for all but minor burns (Severe exposures may require debridement or other surgical intervention)		*Ophthalmology consultation for all but minor burns (Severe exposures may require debridement or other surgical intervention)

Rossdonaldson1: /* Caustic Ocular Exposure Management */

2018-02-24T19:48:29Z

Caustic Ocular Exposure Management

← Older revision		Revision as of 19:48, 24 February 2018
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	**[[Topical steroids]] - [[prednisolone]] 1% ophthalmic QID for 1 week<ref>Dohlman, C.H., F. Cade, and R. Pfister, Chemical burns to the eye: paradigm shifts in treatment. Cornea, 2011. 30(6): p. 613-4.</ref>		**[[Topical steroids]] - [[prednisolone]] 1% ophthalmic QID for 1 week<ref>Dohlman, C.H., F. Cade, and R. Pfister, Chemical burns to the eye: paradigm shifts in treatment. Cornea, 2011. 30(6): p. 613-4.</ref>
	**Limit topical steroid use to 10 days to avoid corneal breakdown.<ref>Donshik, P.C., et al., Effect of topical corticosteroids on ulceration in alkali-burned corneas. Archives of ophthalmology, 1978. 96(11): p. 2117-20.</ref>		**Limit topical steroid use to 10 days to avoid corneal breakdown.<ref>Donshik, P.C., et al., Effect of topical corticosteroids on ulceration in alkali-burned corneas. Archives of ophthalmology, 1978. 96(11): p. 2117-20.</ref>
	*~~Ophtho~~ consultation for all but minor burns (Severe exposures may require debridement or other surgical intervention)		*Ophthomology consultation for all but minor burns (Severe exposures may require debridement or other surgical intervention)

Rossdonaldson1 at 19:48, 24 February 2018

2018-02-24T19:48:12Z

← Older revision		Revision as of 19:48, 24 February 2018
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	===[[Caustic keratoconjunctivitis\|Caustic Ocular Exposure Management]]===		===[[Caustic keratoconjunctivitis\|Caustic Ocular Exposure Management]]===
	*Irrigate, ~~immediately~~ and ~~copiously!~~		*Eye irrigation
	**NS, LR, or BSS (Buffered Saline Solution) preferred in the hospital setting<ref>Herr RD, White GL Jr, Bernhisel K, Mamalis N, Swanson E. Clinical comparison of ocular irrigation fluids following chemical injury. Am J Emerg Med. 1991 May;9(3):228-31.</ref>, but tap water is acceptable, especially in pre-hospital setting		**Immediate irrigation is the most important treatment for caustic ocular injury, and should be started before comprehensive evaluation
	**Use of morgan lens or eyelid speculum will assist with getting more fluid in contact with cornea		**Irrigate affected eye(s) with copious amounts of fluid (no consensus on volume or length of time)<ref>Chau JP, Lee DT, Lo SH. A systematic review of methods of eye irrigation for adults and children with ocular chemical burns. Worldviews Evid Based Nurs. 2012 Aug;9(3):129-38.</ref>
			**NS, LR, or BSS (Buffered Saline Solution) preferred in the hospital setting<ref>Herr RD, White GL Jr, Bernhisel K, Mamalis N, Swanson E. Clinical comparison of ocular irrigation fluids following chemical injury. Am J Emerg Med. 1991 May;9(3):228-31.</ref>, but tap water is acceptable, especially in pre-hospital setting.
	**Goal is to remove caustic agent and restore normal ocular pH (7.0-7.2)		**Goal is to remove caustic agent and restore normal ocular pH (7.0-7.2)
	**Do NOT attempt to neutralize pH by adding base to an acidic burn or acid to an alkali burn		**Do NOT attempt to neutralize pH by adding base to an acidic burn or acid to an alkali burn
			**Use of morgan lens or eyelid speculum will assist with getting more fluid in contact with cornea
	*Remove particulate matter		*Remove particulate matter
	**Evert both lids, remove any visible particulate matter with cotton-tipped applicator		**Evert both lids, remove any visible particulate matter with cotton-tipped applicator

Rossdonaldson1: Created page with "===Caustic Ocular Exposure Management=== *Irrigate, immediately and copiously! **NS, LR, or BSS (Buffered Saline Solution) preferred in the ho..."

2018-02-24T19:45:55Z

Created page with "===Caustic Ocular Exposure Management=== *Irrigate, immediately and copiously! **NS, LR, or BSS (Buffered Saline Solution) preferred in the ho..."

New page

===[[Caustic keratoconjunctivitis|Caustic Ocular Exposure Management]]===
*Irrigate, immediately and copiously!
**NS, LR, or BSS (Buffered Saline Solution) preferred in the hospital setting<ref>Herr RD, White GL Jr, Bernhisel K, Mamalis N, Swanson E. Clinical comparison of ocular irrigation fluids following chemical injury. Am J Emerg Med. 1991 May;9(3):228-31.</ref>, but tap water is acceptable, especially in pre-hospital setting
**Use of morgan lens or eyelid speculum will assist with getting more fluid in contact with cornea
**Goal is to remove caustic agent and restore normal ocular pH (7.0-7.2)
**Do NOT attempt to neutralize pH by adding base to an acidic burn or acid to an alkali burn
*Remove particulate matter
**Evert both lids, remove any visible particulate matter with cotton-tipped applicator
*Anesthesia
**Topical anesthetic (e.g. [[tetracaine]]) to help with discomfort.
**Other options include cycloplegics (e.g. [[atropine]], [[cyclopentolate]]), IV/IM/PO analgesics
*[[Antibiotics]]
**[[Erythromycin]] ophthalmic ointment QID for minor burns
**Topical [[fluoroquinolone]] for more severe burns
*Control inflammation
**[[Topical steroids]] - [[prednisolone]] 1% ophthalmic QID for 1 week<ref>Dohlman, C.H., F. Cade, and R. Pfister, Chemical burns to the eye: paradigm shifts in treatment. Cornea, 2011. 30(6): p. 613-4.</ref>
**Limit topical steroid use to 10 days to avoid corneal breakdown.<ref>Donshik, P.C., et al., Effect of topical corticosteroids on ulceration in alkali-burned corneas. Archives of ophthalmology, 1978. 96(11): p. 2117-20.</ref>
*Ophtho consultation for all but minor burns (Severe exposures may require debridement or other surgical intervention)