https://wikem.org/w/index.php?action=history&feed=atom&title=Template%3ACaustic_ocular_exposure_managment%2Fes 2026-04-19T22:02:23Z Revision history for this page on the wiki MediaWiki 1.38.2 https://wikem.org/w/index.php?title=Template:Caustic_ocular_exposure_managment/es&diff=385274&oldid=prev 2026-01-27T15:56:23Z

<p>Created page with &quot;Template:Caustic ocular exposure managment&quot;</p> <table style="background-color: #fff; color: #202122;" data-mw="interface"> <col class="diff-marker" /> <col class="diff-content" /> <col class="diff-marker" /> <col class="diff-content" /> <tr class="diff-title" lang="en"> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">← Older revision</td> <td colspan="2" style="background-color: #fff; color: #202122; text-align: center;">Revision as of 15:56, 27 January 2026</td> </tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l3">Line 3:</td> <td colspan="2" class="diff-lineno">Line 3:</td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===[[Special:MyLanguage/Caustic keratoconjunctivitis|Manejo de la exposición ocular cáustica]]===</div></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><div>===[[Special:MyLanguage/Caustic keratoconjunctivitis|Manejo de la exposición ocular cáustica]]===</div></td></tr> <tr><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td><td class="diff-marker"></td><td style="background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"><br/></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">* *</del>*Irrigación ocular*<del style="font-weight: bold; text-decoration: none;">*</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Irrigación ocular</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* La irrigación inmediata es el tratamiento más importante para lesiones oculares cáusticas y debe iniciarse antes de la evaluación completa<del style="font-weight: bold; text-decoration: none;">.</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**La irrigación inmediata es el tratamiento más importante para lesiones oculares cáusticas<ins style="font-weight: bold; text-decoration: none;">, </ins>y debe iniciarse antes de la evaluación completa</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* Irrigar el ojo <del style="font-weight: bold; text-decoration: none;">o los ojos afectados </del>con grandes cantidades de líquido (no hay consenso sobre el volumen o la duración) &lt;ref&gt;Chau JP, Lee DT, Lo SH. A systematic review of methods of eye irrigation for adults and children with ocular chemical burns. Worldviews Evid Based Nurs. 2012 Aug;9(3):129-38.&lt;/ref&gt;<del style="font-weight: bold; text-decoration: none;">.</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*</ins>*Irrigar el<ins style="font-weight: bold; text-decoration: none;">(los) </ins>ojo<ins style="font-weight: bold; text-decoration: none;">(s) afectado(s) </ins>con grandes cantidades de líquido (no hay consenso sobre el volumen o la duración)&lt;ref&gt;Chau JP, Lee DT, Lo SH. A systematic review of methods of eye irrigation for adults and children with ocular chemical burns. Worldviews Evid Based Nurs. 2012 Aug;9(3):129-38.&lt;/ref&gt;</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* <del style="font-weight: bold; text-decoration: none;">Se prefiere solución salina normal (</del>NS<del style="font-weight: bold; text-decoration: none;">)</del>, <del style="font-weight: bold; text-decoration: none;">lactato de Ringer (</del>LR<del style="font-weight: bold; text-decoration: none;">) </del>o <del style="font-weight: bold; text-decoration: none;">solución salina tamponada </del>(<del style="font-weight: bold; text-decoration: none;">BSS</del>) en el entorno hospitalario &lt;ref&gt;Herr RD, White GL Jr, Bernhisel K, Mamalis N, Swanson E. Clinical comparison of ocular irrigation fluids following chemical injury. Am J Emerg Med. 1991 May;9(3):228-31.&lt;/ref&gt;<del style="font-weight: bold; text-decoration: none;">; </del>el agua del grifo es aceptable, especialmente en <del style="font-weight: bold; text-decoration: none;">entornos prehospitalarios</del>.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">*</ins>NS, LR<ins style="font-weight: bold; text-decoration: none;">, </ins>o <ins style="font-weight: bold; text-decoration: none;">BSS </ins>(<ins style="font-weight: bold; text-decoration: none;">Buffered Saline Solution</ins>) <ins style="font-weight: bold; text-decoration: none;">preferidos </ins>en el entorno hospitalario&lt;ref&gt;Herr RD, White GL Jr, Bernhisel K, Mamalis N, Swanson E. Clinical comparison of ocular irrigation fluids following chemical injury. Am J Emerg Med. 1991 May;9(3):228-31.&lt;/ref&gt;<ins style="font-weight: bold; text-decoration: none;">, pero </ins>el agua del grifo es aceptable, especialmente en <ins style="font-weight: bold; text-decoration: none;">el entorno prehospitalario</ins>.</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* El objetivo es eliminar el agente cáustico y restaurar el pH ocular normal (7.0-7.2)<del style="font-weight: bold; text-decoration: none;">.</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*</ins>*El objetivo es eliminar el agente cáustico y restaurar el pH ocular normal (7.0-7.2)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* NO intente neutralizar el pH añadiendo base a una quemadura ácida <del style="font-weight: bold; text-decoration: none;">ni </del>ácido a una quemadura alcalina<del style="font-weight: bold; text-decoration: none;">.</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*</ins>*NO intente neutralizar el pH añadiendo base a una quemadura ácida <ins style="font-weight: bold; text-decoration: none;">o </ins>ácido a una quemadura alcalina</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* El uso de lente <del style="font-weight: bold; text-decoration: none;">de </del>Morgan o espéculo palpebral ayudará a <del style="font-weight: bold; text-decoration: none;">poner </del>más líquido en contacto con la córnea<del style="font-weight: bold; text-decoration: none;">.</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*</ins>*El uso de lente Morgan o espéculo palpebral ayudará a <ins style="font-weight: bold; text-decoration: none;">que </ins>más líquido <ins style="font-weight: bold; text-decoration: none;">entre </ins>en contacto con la córnea</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Eliminar </ins>materia particulada</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* <del style="font-weight: bold; text-decoration: none;">**Retirar </del>materia particulada*<del style="font-weight: bold; text-decoration: none;">*</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Evertir ambos párpados<ins style="font-weight: bold; text-decoration: none;">, eliminar </ins>cualquier <ins style="font-weight: bold; text-decoration: none;">materia particulada </ins>visible con <ins style="font-weight: bold; text-decoration: none;">aplicador de punta </ins>de algodón</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* Evertir ambos párpados <del style="font-weight: bold; text-decoration: none;">y retirar </del>cualquier <del style="font-weight: bold; text-decoration: none;">partícula </del>visible con <del style="font-weight: bold; text-decoration: none;">hisopo </del>de algodón<del style="font-weight: bold; text-decoration: none;">.</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Anestesia</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**Anestésico tópico (por ejemplo, [[Special:MyLanguage/tetracaine|tetracaína]]) para <ins style="font-weight: bold; text-decoration: none;">ayudar con la incomodidad</ins>.</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">* *</del>*Anestesia*<del style="font-weight: bold; text-decoration: none;">*</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*</ins>*Otras opciones incluyen ciclopléjicos (por ejemplo, [[Special:MyLanguage/atropine|atropina]], [[Special:MyLanguage/cyclopentolate|ciclopentolato]]), <ins style="font-weight: bold; text-decoration: none;">[[Special:MyLanguage/analgesia|</ins>analgésicos<ins style="font-weight: bold; text-decoration: none;">]] IV</ins>/<ins style="font-weight: bold; text-decoration: none;">IM</ins>/<ins style="font-weight: bold; text-decoration: none;">VO</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* Anestésico tópico (por ejemplo, [[Special:MyLanguage/tetracaine|tetracaína]]) para <del style="font-weight: bold; text-decoration: none;">aliviar el malestar</del>.</div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*[[Special:MyLanguage/Antibiotics|Antibióticos]]</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* Otras opciones incluyen ciclopléjicos (por ejemplo, [[Special:MyLanguage/atropine|atropina]], [[Special:MyLanguage/cyclopentolate|ciclopentolato]]), analgésicos <del style="font-weight: bold; text-decoration: none;">por vía intravenosa</del>/<del style="font-weight: bold; text-decoration: none;">intramuscular</del>/<del style="font-weight: bold; text-decoration: none;">por vía oral.</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>** Ungüento oftálmico de [[Special:MyLanguage/Erythromycin|eritromicina]] cada 6 horas para quemaduras menores</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*</ins>*[[Special:MyLanguage/fluoroquinolone|Fluoroquinolona]] tópica para quemaduras más <ins style="font-weight: bold; text-decoration: none;">severas</ins></div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">* *</del>*[[Special:MyLanguage/Antibiotics|Antibióticos]]*<del style="font-weight: bold; text-decoration: none;">*</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*<ins style="font-weight: bold; text-decoration: none;">Control de </ins>la inflamación</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* Ungüento oftálmico de [[Special:MyLanguage/Erythromycin|eritromicina]] cada 6 horas para quemaduras menores<del style="font-weight: bold; text-decoration: none;">.</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>**[[Special:MyLanguage/Topical steroids|Esteroides tópicos]] - [[Special:MyLanguage/prednisolone|<ins style="font-weight: bold; text-decoration: none;">prednisona</ins>]] 1% oftálmica cada 6 horas <ins style="font-weight: bold; text-decoration: none;">por </ins>1 semana&lt;ref&gt;Dohlman, C.H., F. Cade, and R. Pfister, Chemical burns to the eye: paradigm shifts in treatment. Cornea, 2011. 30(6): p. 613-4.&lt;/ref&gt;</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* [[Special:MyLanguage/fluoroquinolone|Fluoroquinolona]] tópica para quemaduras más <del style="font-weight: bold; text-decoration: none;">graves.</del></div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">*</ins>*Limitar el uso de esteroides tópicos a 10 días para evitar la <ins style="font-weight: bold; text-decoration: none;">destrucción </ins>corneal<ins style="font-weight: bold; text-decoration: none;">.</ins>&lt;ref&gt;Donshik, P.C., et al., Effect of topical corticosteroids on ulceration in alkali-burned corneas. Archives of ophthalmology, 1978. 96(11): p. 2117-20.&lt;/ref&gt;</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td class="diff-marker" data-marker="+"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>*Consulta <ins style="font-weight: bold; text-decoration: none;">oftalmológica </ins>para todas las quemaduras <ins style="font-weight: bold; text-decoration: none;">excepto las </ins>menores (<ins style="font-weight: bold; text-decoration: none;">Las </ins>exposiciones <ins style="font-weight: bold; text-decoration: none;">severas </ins>pueden requerir desbridamiento u <ins style="font-weight: bold; text-decoration: none;">otra intervención quirúrgica</ins>)</div></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* <del style="font-weight: bold; text-decoration: none;">**Controlar </del>la inflamación*<del style="font-weight: bold; text-decoration: none;">*</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* [[Special:MyLanguage/Topical steroids|Esteroides tópicos]] - [[Special:MyLanguage/prednisolone|<del style="font-weight: bold; text-decoration: none;">prednisolona</del>]] <del style="font-weight: bold; text-decoration: none;">al </del>1% oftálmica cada 6 horas <del style="font-weight: bold; text-decoration: none;">durante </del>1 semana &lt;ref&gt;Dohlman, C.H., F. Cade, and R. Pfister, Chemical burns to the eye: paradigm shifts in treatment. Cornea, 2011. 30(6): p. 613-4.&lt;/ref&gt;<del style="font-weight: bold; text-decoration: none;">.</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">  </del>* Limitar el uso de esteroides tópicos a 10 días para evitar la <del style="font-weight: bold; text-decoration: none;">degradación </del>corneal &lt;ref&gt;Donshik, P.C., et al., Effect of topical corticosteroids on ulceration in alkali-burned corneas. Archives of ophthalmology, 1978. 96(11): p. 2117-20.&lt;/ref&gt;<del style="font-weight: bold; text-decoration: none;">.</del></div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div> </div></td><td colspan="2" class="diff-side-added"></td></tr> <tr><td class="diff-marker" data-marker="−"></td><td style="color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>* Consulta <del style="font-weight: bold; text-decoration: none;">con oftalmología </del>para todas las quemaduras <del style="font-weight: bold; text-decoration: none;">que no sean </del>menores (<del style="font-weight: bold; text-decoration: none;">las </del>exposiciones <del style="font-weight: bold; text-decoration: none;">graves </del>pueden requerir desbridamiento u <del style="font-weight: bold; text-decoration: none;">otras intervenciones quirúrgicas</del>)<del style="font-weight: bold; text-decoration: none;">.</del></div></td><td colspan="2" class="diff-side-added"></td></tr> </table>

Ostermayer https://wikem.org/w/index.php?title=Template:Caustic_ocular_exposure_managment/es&diff=385253&oldid=prev 2026-01-27T15:48:57Z

<p>Created page with &quot;* **Irrigación ocular** * La irrigación inmediata es el tratamiento más importante para lesiones oculares cáusticas y debe iniciarse antes de la evaluación completa. * Irrigar el ojo o los ojos afectados con grandes cantidades de líquido (no hay consenso sobre el volumen o la duración) &lt;ref&gt;Chau JP, Lee DT, Lo SH. A systematic review of methods of eye irrigation for adults and children with ocular chemical burns. Worldviews Evid Based Nurs. 2012 Aug;9(3):129-3...&quot;</p> <p><b>New page</b></p><div>&lt;noinclude&gt;&lt;languages/&gt;&lt;/noinclude&gt;<br /> <br /> ===[[Special:MyLanguage/Caustic keratoconjunctivitis|Manejo de la exposición ocular cáustica]]===<br /> <br /> * **Irrigación ocular**<br /> * La irrigación inmediata es el tratamiento más importante para lesiones oculares cáusticas y debe iniciarse antes de la evaluación completa.<br /> * Irrigar el ojo o los ojos afectados con grandes cantidades de líquido (no hay consenso sobre el volumen o la duración) &lt;ref&gt;Chau JP, Lee DT, Lo SH. A systematic review of methods of eye irrigation for adults and children with ocular chemical burns. Worldviews Evid Based Nurs. 2012 Aug;9(3):129-38.&lt;/ref&gt;.<br /> * Se prefiere solución salina normal (NS), lactato de Ringer (LR) o solución salina tamponada (BSS) en el entorno hospitalario &lt;ref&gt;Herr RD, White GL Jr, Bernhisel K, Mamalis N, Swanson E. Clinical comparison of ocular irrigation fluids following chemical injury. Am J Emerg Med. 1991 May;9(3):228-31.&lt;/ref&gt;; el agua del grifo es aceptable, especialmente en entornos prehospitalarios.<br /> * El objetivo es eliminar el agente cáustico y restaurar el pH ocular normal (7.0-7.2).<br /> * NO intente neutralizar el pH añadiendo base a una quemadura ácida ni ácido a una quemadura alcalina.<br /> * El uso de lente de Morgan o espéculo palpebral ayudará a poner más líquido en contacto con la córnea.<br /> <br /> * **Retirar materia particulada**<br /> * Evertir ambos párpados y retirar cualquier partícula visible con hisopo de algodón.<br /> <br /> * **Anestesia**<br /> * Anestésico tópico (por ejemplo, [[Special:MyLanguage/tetracaine|tetracaína]]) para aliviar el malestar.<br /> * Otras opciones incluyen ciclopléjicos (por ejemplo, [[Special:MyLanguage/atropine|atropina]], [[Special:MyLanguage/cyclopentolate|ciclopentolato]]), analgésicos por vía intravenosa/intramuscular/por vía oral.<br /> <br /> * **[[Special:MyLanguage/Antibiotics|Antibióticos]]**<br /> * Ungüento oftálmico de [[Special:MyLanguage/Erythromycin|eritromicina]] cada 6 horas para quemaduras menores.<br /> * [[Special:MyLanguage/fluoroquinolone|Fluoroquinolona]] tópica para quemaduras más graves.<br /> <br /> * **Controlar la inflamación**<br /> * [[Special:MyLanguage/Topical steroids|Esteroides tópicos]] - [[Special:MyLanguage/prednisolone|prednisolona]] al 1% oftálmica cada 6 horas durante 1 semana &lt;ref&gt;Dohlman, C.H., F. Cade, and R. Pfister, Chemical burns to the eye: paradigm shifts in treatment. Cornea, 2011. 30(6): p. 613-4.&lt;/ref&gt;.<br /> * Limitar el uso de esteroides tópicos a 10 días para evitar la degradación corneal &lt;ref&gt;Donshik, P.C., et al., Effect of topical corticosteroids on ulceration in alkali-burned corneas. Archives of ophthalmology, 1978. 96(11): p. 2117-20.&lt;/ref&gt;.<br /> <br /> * Consulta con oftalmología para todas las quemaduras que no sean menores (las exposiciones graves pueden requerir desbridamiento u otras intervenciones quirúrgicas).</div>

Ostermayer