Ocular Burns and Chemical Injuries Workup

Updated: Jun 14, 2019
  • Author: Joshua J Solano, MD, FAAEM, FACEP; Chief Editor: Gregory Sugalski, MD  more...
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Approach Considerations

Evaluating airway and breathing in patients who have sustained ocular thermal burns during a fire is essential.

Ocular pH measurement is essential in the evaluation of a chemical burn. No additional laboratory studies are warranted in cases of isolated ocular injury; additional studies should be considered if warranted by coexisting injuries.

Evaluate all patients with alkali injuries to the face for tracheal and esophageal burns, which are potentially life-threatening. Hydrofluoric acid burns can cause significant hypocalcemia. Consider checking the calcium level for burns that are not limited to the eye.