Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
A 5-Year Retrospective Review of Ophthalmic Assessments and Outcomes Following Facial Burns at a Tertiary Burns Referral Centre, Chelsea and Westminster Hospital
Author: Dhaksha Seyone
ePoster Number: 251,00
Purpose
Ocular involvement of facial burns can lead to poor long-term outcomes. This review evaluates the ophthalmic assessment, management and outcomes of facial burns at a tertiary burns unit.
Methods
We retrospectively analysed 370 patients with facial burns requiring assessment between 2019-2024. Data collected included demographics, burn details, ophthalmology assessment, complications and interventions during admission.
Results
360 patients met the inclusion criteria. Patients ranged from 0-92 years (mean: 30). 216 (60%) were adults and 144 (40%) paediatric. The male: female ratio was 1.72:1. Most burns were thermal (n=323, 89.7%) with most requiring surgery. The remainder were chemical (n=25, 6.9%) and electrical (n=12, 3.3%). 38.3% of patients (n=138) had periocular involvement, of which 64.5% were bilateral. Early ophthalmology involvement was seen in 79.7% of cases; this was linked with fewer surgical interventions and severe complications. Common complications involved the lid (59%), cornea (23%) and vision loss (9%). Most patients with periocular injuries were successfully treated conservatively. However, 26 (7%) required early surgical intervention, such as tarsorrhaphy, skin debridement and full/split thickness grafts. Whilst chemical burns were less common, they were more likely to require specialised procedures like medial canthal reconstruction and amniotic membrane transplants.
Conclusion
We present one of the largest contemporary retrospective reviews of periocular burns in the UK. There is strong evidence for early ophthalmological referral protocols for periocular burns, to reduce the risk of further surgical intervention and complications. However, most periocular burns severe enough for inpatient care can be managed expectantly with good outcomes. A risk stratification algorithm is presented to identify factors linked to poor periocular prognosis.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Amardeep | Mann | Chelsea and Westminster Hospital |
| Dalia | Gamal | Chelsea and Westminster Hospital |
| Jovita | Chendriah | Chelsea and Westminster Hospital |
| Vesa | Gashi | Chelsea and Westminster Hospital |
| Marcus | Essam | Chelsea and Westminster Hospital |
| Hysan | Li | Chelsea and Westminster Hospital |
| Engin | Akyol | Chelsea and Westminster Hospital |
| Daniel | Markeson | Chelsea and Westminster Hospital |
| Richard | Scawn | Chelsea and Westminster Hospital |
| Manvi Manu | Sobti | Chelsea and Westminster Hospital |
Abstract ID: 25-469
