More than 25,000 chemical products have the potential to cause ocular burns. Because such burns can result in loss of sight or the need for corneal transplantation, they must be taken very seriously. This book is the first to be devoted entirely to chemical ocular burns. All aspects of the subject are covered, including history, epidemiology, chemical agents and reactions, histology, pathophysiology, clinical signs, medical and surgical treatments, and emergency care. Particular attention is paid to the mechanisms involved in ocular burns and to the links between the chemical reactivity of corrosive agents and the clinical manifestations. Current principles of decontamination are fully explained and the latest treatment techniques are discussed in detail. This book stands at the interface of the chemical and medical sciences. It will be of great practical value to ophthalmologists and doctors in emergency medical and burns units, and will acquaint chemists with the clinical consequences of corrosivity.
Chemical Ocular Burns
Norbert Schrage • François Burgher Jöel Blomet • Lucien Bodson Max Gerard • Alan Hall Patrice Josset • Laurence Mathieu Harold Merle
Chemical Ocular Burns New Understanding and Treatments
Max Gérard, MD
Authors Norbert Schrage, MD
Alan H. Hall, MD
François Burgher, MD
Patrice Josset, MD
Joël Blomet, MSc
Laurence Mathieu, PhD
Lucien Bodson, MD
Harold Merle, MD
Max Gérard, MD
ISBN 978-3-642-14549-0
e-ISBN 978-3-642-14550-6
DOI 10.1007/978-3-642-14550-6 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2010937959 © Springer-Verlag Berlin Heidelberg 2011 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: eStudioCalamar, Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
List of Authors
Norbert Schrage, MD Department of Ophthalmology of the City Hospital, Augenklinik Köln Merheim, 52070 Aachen, Germany
[email protected] François Burgher, MD PREVOR Laboratory, Moulin de Verville, 97760 Valmondois, France
[email protected] Joël Blomet, MSc PREVOR Laboratory, Moulin de Verville, 95760 Valmondois, France
[email protected] Lucien Bodson, MD CHU de Liège, Urgences-SAMU, Bat. 35, Sart Tilman par 4000, 1 Liège, Belgium