We treated four patients with corneal burns resulting from mishaps while using electric curling irons. In all cases, the burns were symptomatic with blurred vision, tearing, pain, and photophobia. Injury was limited to the corneal epithelium, and management included debridement, topical antibiotics, cycloplegia, and pressure patching. Burns resolved completely within 48 hours after debridement and patching.
[Show abstract][Hide abstract] ABSTRACT: To describe curling iron-related injuries reported to the National Electronic Injury Surveillance System (NEISS) between January 1, 1992, and December 31, 1996.
The authors retrospectively reviewed data from NEISS, a weighted probability sample of emergency departments (EDs) developed to monitor consumer product-related injuries. The information reported includes patient demographics, injury diagnosis, body part injured, incident locale, patient disposition, and a brief narrative description. The authors reviewed the narrative in the hair care products category and abstracted records indicating the injury was caused by contact with a curling iron. Also analyzed were the design features of commonly available curling irons purchased from national discount department stores.
There were an estimated 105,081 hair care product-related injuries in the five-year period, of which 82,151 (78%) involved a curling iron. Seventy percent of injuries were to females. The patient's median age was 8 years (range 1 month to 96 years). The most commonly occurring injury was thermal burns (97%; 79,912/82,151). Ninety-eight percent of the injuries occurred in the home and 99% of the patients were discharged home from the ED. In patients <4 years old, 56% of burns occurred by grabbing or touching, while in those > or =10 years the burns occurred by contact while in use. In the older group 69% of burns were of the cornea. Most curling irons use small amounts of power, yet there are no standards for temperature settings or control. The cylinder containing the heating element is mostly exposed, and many irons do not have a power switch.
The most common injury resulting from curling irons is thermal burns. The mechanisms and patterns of injury in developmentally distinct age groups suggest that many of these injuries could be prevented by public education and the re-engineering of curling irons.
Academic Emergency Medicine 04/2001; 8(4):395-7. DOI:10.1111/j.1553-2712.2001.tb02121.x · 2.01 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: A 42-year-old woman developed significant astigmatism after localized thermal injury to the cornea during a cosmetic eyelid procedure. The induced astigmatism regressed substantially over the ensuing months. One year after the injury, astigmatic keratotomy (AK) was performed, further reducing the astigmatism and improving the patient's subjective vision. Patients with induced astigmatism from thermal corneal injury should be monitored for regression. When refractive stability is achieved, AK can reduce the remaining astigmatism. This case reviews concepts that apply to refractive thermal keratoplasty.
Journal of Cataract and Refractive Surgery 06/2001; 27(5):784-6. DOI:10.1016/S0886-3350(00)00758-6 · 2.72 Impact Factor
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