Journal List > J Korean Ophthalmol Soc > v.51(9) > 1008650

Park, Song, Chi, and Koh: Keratoconjunctival Chemical Burn due to Chemical Light

Abstract

Purpose

Chemical lights, also called Luminous Sticks, consist of a solution of diphenyl oxalate (C14H10O4) and hydrogen peroxide (H2O2). Human tissue can be damaged when the mixed solution contacts the human body. The authors report a single case of chemical injury of keratoconjunctiva by exposure to chemical lights.

Case summary

A 47-year-old man's right eye accidentally contacted the fluorescent material when breaking a Luminous Stick 7 days before being referred to our clinic. He had pain in the right eye and experienced visual loss. The patient's best corrected visual acuity in the right eye was 20/50. An ulcerative lesion with edema at the inferior bulbar and palpebral conjunctiva and coneal epithelial defect was observed upon biomicroscopic examination. The patient was hospitalized and antibiotics, steroids, mydriatic and artificial tear eye drops were applied for treatment. After 9 days of treatment, the best corrected visual acuity of the patient recovered to 20/20, and the conjunctiva and cornea were mostly healed. No complication was observed.

Conclusions

Chemical lights are commonly used in concerts and festivals. If the contents contact the eyes when breaking he chemical lights, various chemical burns can occur and cause ophthalmologic complications. Since no regulations have been passed regarding chemical lights, safety education and supervision are considered to be necessary for children.

Figures and Tables

Figure 1
Chemical light sticks are flexible plastic filled with hydrogen peroxide. Inside the tube is another smaller glass tube filled with diphenyloxalate
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Figure 2
At the first visit, corrosive lesion with dot hemorrhages at the inferior conjunctiva (A) and a large corneal epithelial defect was observed (B).
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Figure 3
At one month after treatment, the corrosive lesion of the inferior conjunctiva was healed completely (A) and the corneal surface was smooth and clear (B).
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