Chemical burns of the ocular surface

“Fortunately, the majority of chemical burns of the ocular surface are mild,” said Dr Harminder Dua MD, PhD at the EuCornea Congress.
But for the rest, prompt correct treatment can make a huge difference.
“Copious irrigation is a given, but make sure to use an eyelid speculum and, importantly, topical anaesthesia,” said Prof Dua.
Re-measuring the pH an hour or so after the end of irrigation is also crucial, since alkali can continue to ooze out of tissues, despite a normal pH immediately after irrigation.
Prof Dua said to avoid using 10 per cent phenylephrine, due to its vasoconstrictive effects, which can contribute to ischaemia. For intraocular pressure control, “substituting oral diamox for a topical agent removes at least one topical irritant from the treatment.”
Further, “alpha adrenergic agonists may not work, since collagen shrinkage affects uveosclera.
Tags: intraocular pressure, tissue types
Latest Articles
ESCRS Today 2025: Happy Anniversaries!
ESCRS celebrates milestones with pioneers in IOLs, LASIK, femtosecond lasers, and corneal transplantation.
ESCRS Today 2025: A Congress for Everyone
From YOs to families, the ESCRS Annual Meeting embraces full participation through inclusivity.
Beyond the Numbers
Empowering patient participation fosters continuous innovation in cataract surgery.
Thinking Beyond the Surgery Room
Practice management workshop focuses on financial operations and AI business applications.
Aid Cuts Threaten Global Eye Care Progress
USAID closure leads retreat in development assistance.
Supplement: ESCRS Clinical Trends Series: Presbyopia
Debate: FS-LASIK or KLEx for Hyperopia?
FS-LASIK has more of a track record, but KLEx offers advantages.
Four AI Applications Ready for Practice
Commercial offerings may save time, improve practice and research.
Perioperative Medication Regimens for Cataract Surgery
Randomised controlled clinical trial results provide evidence-based guidance.