TY - JOUR T1 - Clinical Outcomes and Etiological Factors in Ocular Chemical and Thermal Burns TT - Oküler Kimyasal ve Termal Yanıklarda Klinik Sonuçlar ve Etiyolojik Faktörler AU - Erkan Pota, Çisil AU - Geçer Şerifoğlu, Özge Ekin AU - Öcal, Olgar AU - İlhan, Hatice Deniz PY - 2025 DA - September Y2 - 2025 DO - 10.16919/bozoktip.1700287 JF - Bozok Tıp Dergisi PB - Yozgat Bozok Üniversitesi WT - DergiPark SN - 2146-4006 SP - 317 EP - 323 VL - 15 IS - 3 LA - en AB - Objective:To evaluate the clinical findings of patients admitted to the emergency department due to thermal and chemical ocular burns and to investigate the etiological causes.Materials and Methods:The examination findings of 4,821 patients who were referred for ophthalmologic consultation to the emergency department of xxx Faculty of Medicine between 2019 and 2024 were evaluated. Among these, 474 (9.8%) were identified as cases of chemical and thermal corneal burns. Patients' age, gender, causative agents, initial examination findings, and the presence of permanent damage after treatment were assessed. Examination findings were classified according to the Roper-Hall classification.Results:Of the 474 patients included in the study, 82.1% were adults and 17.9% were pediatric. The male-to-female ratio was 58.4% to 41.6%, respectively. In the pediatric group, the most common cause of corneal burns was adhesives, whereas in adults, the leading cause was bleach (sodium hypochlorite, NaClO). Bleach, adhesives, and thermal agents were the most common causes of initial damage, while bleach was found to be the leading agent in causing permanent complications. Limbal ischemia due to chemical burns was observed in 14 (2.9%) patients. There was a statistically significant difference between causative agents in terms of both initial clinical findings and permanent complications (p KW - ocular chemical burn KW - thermal corneal burn KW - corneal burn KW - limbal ischemia KW - leukoma KW - symblepharon N2 - Amaç: Acil servise termal ve kimyasal oküler yanık nedeniyle başvuran hastaların muayene bulgularının değerlendirilmesi ve etiyolojik nedenlerin araştırılması Gereç ve Yöntem: 2019-2024 yılları arasında xxx Tıp Fakültesi acil servisine göz konsültasyonu ile başvuran 4821 hastanın muayene bulguları değerlendirildi.Bu hastalardan 474 (9.8%) kimyasal ve termal oküler yanık olgusu olduğu gözlendi. Hastaların yaş, cinsiyet, maruz kaldıkları etken maddeler, ilk muayene bulguları ve tedavi sonrası kalıcı hasar durumu ve değerlendirildi. Hastaların muayene bulguları Roper-Hall sınıflamasına göre sınıflandırıldı.Bulgular: Çalışmaya dahil edilen 474 hastadan %82.1'i yetişkin, %17.9'u pediatrik yaş grubundadır. Erkek hasta oranı %58.4, kadın hasta oranı ise %41.6’dır. Pediatrik grupta en sık yapıştırıcı, yetişkin grupta ise çamaşır suyu (sodyum hipoklorit) nedeniyle korneal yanık gözlenmiştir İlk muayenedeki hasar açısından çamaşır suyu, yapıştırıcı ve termal hasarın en sık bulguya yol açtığı, kalıcı hasar açısından ise en sık komplikasyona çamaşır suyunun sebep olduğu gözlendi. Limbal iskemi, kimyasal yanıklara bağlı olarak 14 (2.9%) hastada gözlemlenmiştir. Etken maddeler arasında hem ilk muayene bulguları hem de kalıcı komplikasyonlar açısından anlamlı fark bulunmuştur (p CR - 1. Clare G, Suleman H, Bunce C, Dua H. Amniotic membrane transplantation for acute ocular burns. Cochrane Database Syst Rev. 2012;2012(9):CD009379 CR - 2. Sharma N, Kaur M, Agarwal T, Sangwan VS, Vajpayee RB. Treatment of acute ocular chemical burns. Surv Ophthalmol. 2018;63(2):214-35. CR - 3. Tuft SJ, Shortt AJ. Surgical rehabilitation following severe ocular burns. Eye (Lond.) 2009;23:1966-71. CR - 4. 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