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Kulikov A.N.

Voenno-meditsinskaia akademiia im. S.M. Kirova

Chernysh V.F.

S.M. Kirov Military Medical Academy, Ministry of Defense of the Russian Federation, 5 Klinicheskaya St., Saint-Petersburg, Russian Federation, 194044

Churashov S.V.

Kafedra oftal'mologii Voenno-meditsinskoĭ akademii im. S.M. Kirova, Sankt-Peterburg

On the new classification of eye burns

Authors:

Kulikov A.N., Chernysh V.F., Churashov S.V.

More about the authors

Journal: Russian Annals of Ophthalmology. 2020;136(2): 134‑142

DOI: 10.17116/oftalma2020136021134

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ON THE NEW CLASSIFICATION OF EYE BURNS
ON THE NEW CLASSIFICATION OF EYE BURNS

To cite this article:

Kulikov AN, Chernysh VF, Churashov SV. On the new classification of eye burns. Russian Annals of Ophthalmology. 2020;136(2):134‑142. (In Russ.)
https://doi.org/10.17116/oftalma2020136021134

Подписка 2025-2 (Russian Annals of Ophthalmology)
 
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The currently used classification of eye burns was proposed in 1973 by N.A. Puchkovskaya and V.M. Nepomnyashaya. Recent emergence of the concept of limbal stem cells of the corneal epithelium and its application in clinical practice has significantly expanded the possibilities for diagnosis, treatment, and visual rehabilitation of patients with eye burns. In 1997, Dr. Michael Wagoner proposed a classification of eye burns in which the grade of burn severity is determined by the degree of damage to the limbal stem cells. Considering this approach, the authors conducted a comparative analysis of the classifications of eye burns used in Russia (in different years) and those that have appeared in the Western countries in recent years. In this regard, a new classification of eye burns is being proposed.

Keywords:

eye burns
classification
severity
ischemia
necrosis
conjunctivalization
limbal stem cells
limbal insufficiency

Authors:

Kulikov A.N.

Voenno-meditsinskaia akademiia im. S.M. Kirova

Chernysh V.F.

S.M. Kirov Military Medical Academy, Ministry of Defense of the Russian Federation, 5 Klinicheskaya St., Saint-Petersburg, Russian Federation, 194044

Churashov S.V.

Kafedra oftal'mologii Voenno-meditsinskoĭ akademii im. S.M. Kirova, Sankt-Peterburg

List of references:

  1. Hughes WF. Alkali burns of the eye. Archives of Ophthalmology [Internet]. American Medical Association (AMA). 1946;35(4):423. https://doi.org/10.1001/archopht.1946.00890200430010
  2. Roper-Hall MJ. Thermal and chemical burns. Trans Ophthalmol Soc UK. 1965;85:631-653.
  3. Polyak BL. Voenno-polevaya oftal’mologiya (boevye povrezhdeniya organa zreniya). L.: Medgiz; 1957. (In Russ.).
  4. Volkov VV. Principles of sorting and staged treatment of patients with eye burns. Voenno-medicinskij zhurnal. 1972;7:23-29. (In Russ.).
  5. Puchkovskaya NA, Yakimenko SA, Nepomyashchaya VM. Ozhogi glaz. M.: Medicina; 2001. (In Russ.).
  6. Wagoner MD. Chemical injuries of the eye: Current concepts in pathophysiology and therapy. Survey of Ophthalmology [Internet]. Elsevier BV. 1997;41(4):275-313. https://doi.org/10.1016/s0039-6257(96)00007-0
  7. Brodovsky SC, McCarty CA, Snibson G, et al. Management of alkali burns. An 11 year retrospective review. Ophthalmology. 2000;107:1829-1835.
  8. Dua HS, King AJ, Joseph A. A new classification of ocular surface burns. British Journal of Ophthalmology [Internet]. BMJ. 2001;85(11):1379-1383. https://doi.org/10.1136/bjo.85.11.1379
  9. Schrage NF, Kuhn F. Chemical Injuries. Ocular Traumatology [Internet]. Springer Berlin Heidelberg. 2008;487-500. https://doi.org/10.1007/978-3-540-33825-3_31
  10. Churashov SV, Chernysh VF, Rud’ko AS, Zlobin IA. Features of the healing of severe alkaline burns of only the cornea, only the limbal zone, as well as their combination in the experiment. Prakticheskaya medicina. 2012;4(59):2:214-217. (In Russ.).
  11. Chan E, Le Q, Codriansky A, Hong J, Xu J, Deng SX. Existence of Normal Limbal Epithelium in Eyes With Clinical Signs of Total Limbal Stem Cell Deficiency. Cornea [Internet]. Ovid Technologies (Wolters Kluwer Health). 2016;35(11):1483-1487. https://doi.org/10.1097/ico.0000000000000914
  12. Le Q, Samson CM, Deng SX. A Case of Corneal Neovascularization Misdiagnosed as Total Limbal Stem Cell Deficiency. Cornea [Internet]. Ovid Technologies (Wolters Kluwer Health). 2018;37(8):1067-1070. https://doi.org/10.1097/ico.0000000000001631
  13. Trudo EW, Rimm W. Chemical injuries of the eye. Ophthalmic Care of the Combat Casualty. 2003;41(2):115.
  14. Chernysh VF, Bojko EV. Ozhogi glaz. Sostoyanie problemy i novye podkhody. 2-e izd. dop. M.: GEOTAR-Media; 2017. (In Russ.).
  15. Eslani M, Baradaran-Rafii A, Movahedan A, Djalilian AR. The Ocular Surface Chemical Burns. Journal of Ophthalmology [Internet]. Hindawi Limited. 2014;1-9. https:// doi.org/10.1155/2014/196827
  16. McCulley JP, Smolin G, Thoft RA. Chemical injuries. The Cornea: Scientific Foundation and Clinical Practice. Boston: Little, Brown; 1987.

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