The Thai Journal of Ophthalmology
The Opthalmological Society of Thailand

Official Publication of the Royal College of Ophthalmologist and Ophthalmological Society of Thailand

Thermal Eye Injuries

Panida Kosrirukvongs, M.D.
Pinnita Prabhasawat, M.D.
Choladhi Sombutboon, M.D.
Deparlment of Ophthalmology Faculty of Medicine Siriraj Hospital Mahidol University

ABSTRACT A retrospective study of thermal eye injuries in patients at Siriraj Hospital was analysed.

The purpose was to determine the common causes of thermal eye burns, clinical presentation, man agement and its complications. The result revealed that all of the 13 patients (22 unperforated affected eyes) were men with a mean age 25.2+ 11.7 years (+ SD). Most of the injuries occurred at work, the commonest cause was molten iron (5 cases, 38.5%) The majority of cases had pain with decreased vision. Nine cases (69.3%) were affected bilaterally. Nine eyes (40.9%) had severe decreased vision (~6/60) before treatment, while 3 eyes (13.6%) had not improved after treatment. Fifteen eyes (68.2%) had central corneal and lid burns. The average wound healing time was 11.2 +11.5 days (+SD.).

Complications accounted for 23.1% ; such as corneal opacity, lid scar, pseudopterygium. Due to the short duration of follow up, no symblepharon was found.