Severe corneal burn due to accidental application of salicylic acid packed in a plastic dropper bottle


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Title Severe corneal burn due to accidental application of salicylic acid packed in a plastic dropper bottle
Quemadura corneal severa debida a la aplicación accidental de ácido salicílico envasado en un frasco gotero plástico
Creator Galvis, Virgilio
Tello, Alejandro
Carreño, Néstor I.
Niño, Camilo A.
García , Natalia A.
Otoya , Valeria
Arana, Rodrigo
Subject Cornea; Corneal Opacity; Chemical burns; Limbus corneae; Corneal epithelium; Bowman membrane
Description Eye burns by accidental application of substances, pharmacological or non-pharmacological, packaged in plastic dropper bottles, have been described for more than three decades, and continue to occur. These burns can cause potentially serious corneal injuries.
We present the case of a patient who mistakenly applied salicylic acid to the right eye, when confusing it with an eye lubricant, causing a severe corneal burn. Fortunately, after aggressive medical and surgical management (including oxygen therapy and amniotic membrane grafting) the visual results were good. We suggest conducting educational campaigns and also taking legislative measures in our country to avoid the packaging of corrosive substances in this type of dropper bottles, in order to reduce the risk of accidental burns.
Las quemaduras oculares por aplicación accidental de sustancias, farmacológicas o no farmacológicas, envasadas en frascos goteros plásticos, han sido descritas desde hace mas de tres décadas, y siguen ocurriendo. Estas quemaduras pueden causar lesiones potencialmente graves de la córnea.
Presentamos el caso de un paciente que por error, al confundirlo con un lubricante ocular, se aplicó acido salicílico en el ojo derecho, causándole una severa quemadura corneal. Afortunadamente luego de un manejo médico y quirurgico agresivo (incluyendo oxigenoterapia e injerto de membrana amniótica) los resultados visuales fueron buenos. Sugerimos realizar campañas educativas y además tomar medidas legislativas en nuestro país para evitar  el envase de sustancias corrosivas en este tipo de frascos goteros, con el fin de disminuir el riesgo de quemaduras accidentales.
Publisher Instituto Nacional de Salud
Date 2020-03-03
Type info:eu-repo/semantics/article
Format application/pdf
Source Biomedica; Vol. 40 No. 3 (2020): Septiembre, publicación anticipada
Biomédica; Vol. 40 Núm. 3 (2020): Septiembre, publicación anticipada
Language spa
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