Chemical and Thermal Eye Burns: Clinical Spectrum, Management, and Visual Outcomes from a Tertiary Center in Western Maharashtra

A BSTRACT Chemical and thermal burns to the eye are serious emergencies that demand swift, organized treatment to prevent lasting damage to vision. This observational case series, conducted at a tertiary care center in Western Maharashtra over four months, evaluated seven patients who presented with confirmed chemical or thermal ocular injuries. Each patient underwent a thorough clinical assessment, and the severity of their burns was classified using both the Roper-Hall and Dua systems. While Roper-Hall helped guide early prognosis, Dua’s classification offered detailed insights for tailored treatment by quantifying limbal and conjunctival involvement. Most cases involved alkali injuries—particularly due to lime—which often led to limbal stem cell damage and occasionally required surgical intervention. In comparison, thermal injuries generally responded well to early irrigation and supportive care. Patients who sought care early and were managed based on standardized classification systems tended to have better recovery and visual outcomes. The findings highlight the importance of timely intervention, systematic evaluation, and the urgent need for stronger public education and safety measures to reduce the incidence and impact of ocular burns.