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Ocular chemical burn associated with gel type alcohol-based hand sanitizer: A case report

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Author(s)
Lee, JaekyoungJun, Jong Hwa
Keimyung Author(s)
Jun, Jong Hwa
Department
Dept. of Ophthalmology (안과학)
Journal Title
Medicine (Baltimore)
Issued Date
2021
Volume
100
Issue
42
Keyword
alcohol-based hand sanitizerburnchemicalocular surface
Abstract
Introduction:
Alcohol-based hand sanitizers (ABHS) are widely used for hand hygiene due to the coronavirus disease pandemic. However, risk awareness regarding its adverse effects is lacking. We aim to report a case of ocular chemical burn that showed severe clinical presentation associated with ABHS.

Patient concerns:
A 5-year-old girl presented with severe left eye pain after 62% gel-type ABHS splashed into her eye.

Diagnosis:
On slit lamp examination, a near total corneal and conjunctival epithelial defect with limbal pale on the lower half of the cornea was noted. Severe ocular burn by ABHS was prominent with suspected limbal stem cell damage.

Interventions:
She was hospitalized and was prescribed topical medications including antibiotics, steroid eye drops with preservative-free artificial tears, and oral nonsteroidal anti-inflammatory drugs.

Outcomes:
Despite intensive medical treatments, the corneal and conjunctival epithelial defects showed no improvement up to the 4th hospital day. After additional instillation of autoserum eye drops to promote epithelial healing, the corneal epithelium barely recovered from the temporal limbus. On the third week of admission, the epithelial defect was completely resolved without corneal opacity, although with minimal symblepharon in the lower fornix.

Conclusions:
Gel-type ABHS can cause severe form of ocular chemical burn such as delayed ocular surface healing. In clinical setting, immediate and thorough rinsing of alcohol-based gel and early intensive treatment are crucial.
Keimyung Author(s)(Kor)
전종화
Publisher
School of Medicine (의과대학)
Citation
Lee, Jaekyoung and Jun, Jong Hwa. (2021). Ocular chemical burn associated with gel type alcohol-based hand sanitizer: A case report. Medicine (Baltimore), 100(42), e27292. doi: 10.1097/MD.0000000000027292
Type
Article
ISSN
1536-5964
Source
https://journals.lww.com/md-journal/Fulltext/2021/10220/Ocular_chemical_burn_associated_with_gel_type.4.aspx
DOI
10.1097/MD.0000000000027292
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44050
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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