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Agents Involved and Severity of Acute Ocular Exposure Reported at a Poison Control Center

Abstract : Purpose. Knowing the use categories of the products involved and on the circumstances of exposure, the aim was to identify severity factors useful in the initial management of patients in case of acute ocular exposure.Methods. A retrospective study over a one-year period, on patients having used a poison center for eye exposure to a chemical substance. Results. In one year, 1582 patients were concerned. The sex ratio (M/F) was 0.8. The mean age was 28.5 ± 20.3 years. Among children, those under 4 years represented the most significant age category (n= 277; 50.1%). Exposure to chemicals were mild (n= 1342, 84.8%). Adults over 65 years appeared to be more likely to have more severe ocular damage (OR: 4.75; [2.26; 9.98]). Unintentional exposures were the most frequent (n= 1548; 97.8%). Ocular exposure primarily occurred at home (n= 937; 59.2%) then at work (n= 396; 25%), but with a higher risk of severe injury (OR: 2.93 [2.16; 3.97]). Cleaning products accounted for 31.2% of exposure cases (n= 457).Exposure to disinfectants appears to be a risk factor in more severe injuries (OR: 1.48 [1.002; 2.19] p = 0.0472). PH and severity of injuries were not statistically associated. Conclusions. Our study showed the very wide variety in products involved in ocular exposures. Taking into account severity found, specific attention should be made by clinician on some of them like extreme ages, working exposure, and products like disinfectant and not only acid vs. base.
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https://hal.univ-angers.fr/hal-02861508
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Submitted on : Thursday, June 25, 2020 - 1:29:35 PM
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Gael Le Roux, Adrien Buisset, Stéphanie Leruez, Emmanuel Puskarczyk, Philippe Gohier, et al.. Agents Involved and Severity of Acute Ocular Exposure Reported at a Poison Control Center. Ophthalmic Epidemiology, Taylor & Francis, In press, pp.1-9. ⟨10.1080/09286586.2020.1773871⟩. ⟨hal-02861508⟩

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