Purpose: We report a rare case of ocular injury due to potassium permanganate (KMnO4) granules in a child. Methods: This is a retrospective case report. Results: A 2-year-old boy was transferred to our emergency room with severe pain in his right eye, inflamed eyelids, and brownish stains on his fingers. Chemical injury was suspected. Copious eye irrigation was immediately performed. Diffuse brownish splotches were then observed at the inferior bulbar conjunctiva. Otherwise, systemic organs were intact. Complete eye exam under general anesthesia revealed a 5-mm epithelial defect at the central cornea, along with generalized conjunctival injection and limbal ischemia, inferiorly. Multiple semi-dissolved granules of KMnO4 trapped in the inferior fornix were identified. The chemical particles were gradually washed out and removed; however, the brownish stains remained. The patient received preservative-free steroid, antibiotic eye drops, and lubricants as regular management for mild to moderate degree of ocular burn. Pseudomembrane developed early and transformed into symblepharon within a few days after the injury. Membrane adhesion was lysed, and more aggressive medications were then substituted. Commercial amniotic membrane (PROKERA®) was also applied to promote wound healing and to prevent recurrence of symblepharon. The ocular surface was eventually restored, and corneal transparency was preserved. Conclusion: Ocular injury with the granular form of KMnO4 is rare. Its toxicity is comparable to concentrated KMnO4 solution. However, the dissolved particles that had been absorbed in the stained conjunctiva were continuously released and damaged the ocular surface more than we primarily anticipated. Awareness of this condition and prompt management yield a good treatment outcome.
Case Rep Ophthalmol 2018;9:132–137
http://ift.tt/2FY230O
Αρχειοθήκη ιστολογίου
-
►
2020
(289)
- ► Φεβρουαρίου (28)
-
►
2019
(9071)
- ► Δεκεμβρίου (19)
- ► Σεπτεμβρίου (54)
- ► Φεβρουαρίου (3642)
- ► Ιανουαρίου (3200)
-
▼
2018
(39872)
- ► Δεκεμβρίου (3318)
- ► Σεπτεμβρίου (3683)
-
▼
Φεβρουαρίου
(2693)
-
▼
Φεβ 08
(148)
- Unilateral telangiectasia macularis eruptiva perst...
- Pruritic arthropod bite-like papules in T-cell lar...
- Involvement of spinal cannabinoid receptors in the...
- A 27-Year-Old Woman With Facial Rash: USMLE Question
- Erythema elevatum diutinum-like vasculitis seconda...
- Asymptomatic hyperkeratotic plaque on the vulva of...
- Alternative activation of hedgehog pathway induced...
- ONDAM, T2A, PMSI, SROS, MIGAC, MERRI, SIGAPS & IF ...
- Contrôle des vertiges dans la maladie de Menière p...
- Intérêt de la mesure du débit inspiratoire de poin...
- Évaluation de l’impact médico-économique de la chi...
- Editorial Board
- Atteintes otologiques du syndrome de Turner
- Rhinophyma : notre expérience à propos de 12 cas
- Les revues « prédatrices » à l’assaut de la presse...
- Symptômes de rhinite allergique à Parakou, Bénin :...
- Évaluation du retentissement de la surdité chez l’...
- Dysfonctionnement nasal chronique
- Stimulation magnétique transcrânienne et acouphène...
- Syndrome de Kindler compliqué d’un carcinome épide...
- Liposarcome bien différencié pédiculé de l’hypopha...
- Modification du lambeau libre fascio-cutané antébr...
- Oropharyngectomie par voie cervico-transorale assi...
- Une masse linguale
- Une colonisation du cornet moyen
- Abcès avec ostéomyélite du clivus après adénoïdect...
- Rhinorrhée unilatérale : une étiologie atypique
- Systemic allergic contact dermatitis associated wi...
- A retrospective case series of referrals to our ps...
- Die endonasale endoskopische Resektion von Choanal...
- Origins of antidromic activity in sensory afferent...
- Chitotriosidase inhibits allergic asthmatic airway...
- Alterations of Global DNA Methylation and DNA Meth...
- Preparation, Purification, and Identification of a...
- Onabotulinum Toxin A in Adductor Spasmodic Dysphon...
- Medical Student Knowledge of Human Papillomavirus–...
- The 'Ugly Duckling' Rule in Melanoma Self-exam
- Hepatotoxicity Associated With Vismodegib
- Intracaval misplacement of a double-J ureteral stent
- Double invasive fungal infection due to dematiaceo...
- Pathological fracture of femoral neck in a middle-...
- Autoimmune fasciitis triggered by the anti-program...
- Follicular dendritic cell sarcoma of the porta hep...
- 21st century obstetrics: a 50-year-old nullip--wal...
- Emphysematous gastritis secondary to Sarcina ventr...
- Giant granadillas seeds phytobezoar rectal impacta...
- Successful management of benign paroxysmal positio...
- Ventricular tachyarrhythmia in a 78-year-old woman...
- Tinea of vellus hair: a diagnostic and therapeutic...
- Successful treatment of non-tuberculous mycobacter...
- Reversible bioprosthetic valve thrombosis from eos...
- Acute haemorrhage from a retroperitoneal liposarco...
- Down syndrome with posterior cortical atrophy
- Nasopharyngeal angiofibroma in a 32-year-old man
- Melioidosis: the great mimicker presenting as spon...
- Bleeding or clotting: an intracranial dilemma
- Isolated splenic mucormycosis in a case of aplasti...
- Pretreatment neutrophil-to-lymphocyte ratio is ass...
- Ocular Injury due to Potassium Permanganate Granules
- Isolated Medial Orbital Wall Fracture Associated w...
- Evaluation of the success of obstructive sleep apn...
- Swallowing evaluation after surgery for obstructiv...
- Issue Information
- Differentiating Simple Hepatic Cysts from Mucinous...
- Speech, stone tool-making and the evolution of lan...
- Matrix Single Stage Distributed Amplifier Design f...
- R.S. Thomas's Poetics of Insomnia
- Regulating Offense, Nurturing Offense
- Multiple Levels of Control Determine How E4bp4/Nfi...
- On coercivity of boundary integral functionals in ...
- The algal chloroplast as a synthetic biology platf...
- Manufactured Exoticism and Retelling The Story of ...
- Indirect epistemic reasons and religious belief
- Fine table linen in England, 1450-1750: The supply...
- Temporal trends of transmitted HIV drug resistance...
- Climate change, cooperation and moral bioenhancement
- Permissivism and the Arbitrariness Objection
- Short courses of daily prednisolone during upper r...
- Effective Principals Serving in High Poverty Schoo...
- NODAL/Activin signalling to chromatin: mechanisms ...
- Defining 'Speech': Subtraction, Addition, and Divi...
- Economic structure and energy savings from energy ...
- Disciplining and Governing Headteachers? Exploring...
- Early laser intervention to reduce scar formation:...
- Predatory conferences: Caveat emptor!
- Granulomatous Tattoo reaction with Associated Uvei...
- Normoglycemic glucagonoma syndrome associated with...
- Once weekly targeted excimer light produced modest...
- The regular use of an emollient improves symptoms ...
- Variation in the diagnosis and clinical management...
- Autosomal recessive hyper-IgE syndrome in two brot...
- Skin manifestations in patients with hcv–related c...
- Cytokeratin 19 expression is a risk factor for met...
- Case 4-2018: A Newborn with Thrombocytopenia, Cata...
- Radiotherapy With Double Checkpoint Blockade of Lo...
- Burkitt’s lymphoma with placental invasion diagnos...
- Relationship between swallowing-related quality of...
- Lights, Camera, Action! New Endomicroscopic Probes...
- IMPACT OF TACROLIMUS INTRA-PATIENT VARIABILITY ON ...
- Transformations of Scylla and Charybdis: Encounter...
-
▼
Φεβ 08
(148)
- ► Ιανουαρίου (3198)
-
►
2017
(41099)
- ► Δεκεμβρίου (3127)
- ► Σεπτεμβρίου (2173)
-
►
2016
(13807)
- ► Δεκεμβρίου (700)
- ► Σεπτεμβρίου (600)
- ► Φεβρουαρίου (1350)
- ► Ιανουαρίου (1400)
-
►
2015
(1500)
- ► Δεκεμβρίου (1450)
Ετικέτες
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου