What are the complications of chemical burns to the eye?

Updated: Oct 08, 2019
  • Author: Mark Ventocilla, OD, FAAO; Chief Editor: Andrew A Dahl, MD, FACS  more...
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Answer

Secondary complications include the following:

  • Secondary glaucoma

  • Secondary cataract

  • Bulbar conjunctival scarring

  • Lid scarring, trichiasis, and entropion

  • Corneal thinning and perforation

  • Complete ocular surface disruption with corneal scarring and vascularization

  • Corneal ulceration (sterile or infectious)

  • Complete globe atrophy (phthisis bulbi): See the image below.

  • Complete cicatrization of the corneal surface foll Complete cicatrization of the corneal surface following chemical injury.
  • Secondary severe dry eye (long-term) due to loss of conjunctival goblet cells and lacrimal ductules

  • Tarsal conjunctival scarring, leading to symblepharon formation, trichiasis, and cicatricial ectropion or ectropion

  • Complete ocular surface disruption with corneal scarring, keratinization, and vascularization due to loss of limbal stem cells


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