Verätzungen des Auges : Diphoterinhaltige Augenspüllösung in der Erste-Hilfe-Therapie
Identifieur interne : 000293 ( PascalFrancis/Curation ); précédent : 000292; suivant : 000294Verätzungen des Auges : Diphoterinhaltige Augenspüllösung in der Erste-Hilfe-Therapie
Auteurs : S. Langefeld [Allemagne] ; U. P. Press [Allemagne] ; M. Frentz [Allemagne] ; S. Kompa [Allemagne] ; N. Schrage [Allemagne]Source :
- Der Ophthalmologe : (Berlin. Print) [ 0941-293X ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Irrigation, Homme, Phosphate.
English descriptors
- KwdEn :
Abstract
Purpose. Eye irrigation is a widely accepted therapeutic must in first aid treatment. The burning agent is removed, diluted, and If possible neutralized. Usually water, NaCl 0.9%, Ringer's lactate or phosphate buffer are the most accepted rinsing solutions.We present a relatively new substance called Previn® (Diphoterine in countries other than Germany). It is hypertonic, polyvalent, and amphoteric substance. Its binding energy for acids, bases, reducers, and oxidation is stronger than the binding energy of biological compounds for these burning agents. Concerning its compatibility with the eye and its efficacy, we compare Previn® to the rinsing solutions in general use. Material and methods. The first experiment (I) shows the effects of ocular rinsing with 500 ml Previn® in ten healthy human subjects compared with phosphate buffer rinsing. Evaluation is done by slit lamp examination and confocal microscopy.An experimental study (II) compares in vitro buffering capacity (a) of Previn® to other rinsing solutions and shows (b) in vivo efficacy of rinsing with Previn® versus other rinsing solutions by pH measurements on the corneal surface and anterior chamber of rabbits after a 30-s burn with 1 N sodium hydroxide. Results. (I) No harmful effect of irrigation with Previn® could be found. Its compatibility with the eye is comparable to phosphate buffer rinsing. (II a) Buffering capacity was found to be stronger for Previn® in acids and bases compared to phosphate buffer or Ringer's lactate. (II b) The in vivo study on rabbits proved Previn® effect onaqueous pH comparable to phosphate buffer in buffering 1 N NaOH,whereas NaCI showed no buffering effect at all. Conclusion. The above studies have shown that Previn® (Diphoterine) is comparable to other rinsing solutions concerning its compatibility with the human eye. Its buffering capacity is comparable to phosphate buffer. Previn® and phosphate buffer should only be used in first aid treatment and not for continued rinsing therapy.
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Langefeld</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Aachener Centrum für Technologietransfer in der Ophthalmologie (ACTO)</s1><s3>DEU</s3><sZ>1 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Press, U P" sort="Press, U P" uniqKey="Press U" first="U. P." last="Press">U. P. Press</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Augenklinik des Brüderkrankenhauses</s1><s2>Trier</s2><s3>DEU</s3><sZ>2 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Frentz, M" sort="Frentz, M" uniqKey="Frentz M" first="M." last="Frentz">M. Frentz</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Augenklinik der Rheinisch Westfälischen Technischen Hochschule Aachen</s1><s3>DEU</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Kompa, S" sort="Kompa, S" uniqKey="Kompa S" first="S." last="Kompa">S. Kompa</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Augenklinik der Rheinisch Westfälischen Technischen Hochschule Aachen</s1><s3>DEU</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author><author><name sortKey="Schrage, N" sort="Schrage, N" uniqKey="Schrage N" first="N." last="Schrage">N. Schrage</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Augenklinik der Rheinisch Westfälischen Technischen Hochschule Aachen</s1><s3>DEU</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Allemagne</country></affiliation></author></analytic><series><title level="j" type="main">Der Ophthalmologe : (Berlin. Print)</title><title level="j" type="abbreviated">Ophthalmologe : (Berl., Print)</title><idno type="ISSN">0941-293X</idno><imprint><date when="2003">2003</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Der Ophthalmologe : (Berlin. Print)</title><title level="j" type="abbreviated">Ophthalmologe : (Berl., Print)</title><idno type="ISSN">0941-293X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Emergency</term><term>Eye</term><term>Eye burn</term><term>Human</term><term>Irrigation</term><term>Phosphates</term><term>Therapy</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Irrigation</term><term>Oeil</term><term>Traitement</term><term>Homme</term><term>Urgence</term><term>Phosphate</term><term>Thérapie</term><term>Diphoterine</term><term>Brûlure oeil</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Irrigation</term><term>Homme</term><term>Phosphate</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose. Eye irrigation is a widely accepted therapeutic must in first aid treatment. The burning agent is removed, diluted, and If possible neutralized. Usually water, NaCl 0.9%, Ringer's lactate or phosphate buffer are the most accepted rinsing solutions.We present a relatively new substance called Previn® (Diphoterine in countries other than Germany). It is hypertonic, polyvalent, and amphoteric substance. Its binding energy for acids, bases, reducers, and oxidation is stronger than the binding energy of biological compounds for these burning agents. Concerning its compatibility with the eye and its efficacy, we compare Previn® to the rinsing solutions in general use. Material and methods. The first experiment (I) shows the effects of ocular rinsing with 500 ml Previn® in ten healthy human subjects compared with phosphate buffer rinsing. Evaluation is done by slit lamp examination and confocal microscopy.An experimental study (II) compares in vitro buffering capacity (a) of Previn® to other rinsing solutions and shows (b) in vivo efficacy of rinsing with Previn® versus other rinsing solutions by pH measurements on the corneal surface and anterior chamber of rabbits after a 30-s burn with 1 N sodium hydroxide. Results. (I) No harmful effect of irrigation with Previn® could be found. Its compatibility with the eye is comparable to phosphate buffer rinsing. (II a) Buffering capacity was found to be stronger for Previn® in acids and bases compared to phosphate buffer or Ringer's lactate. (II b) The in vivo study on rabbits proved Previn® effect onaqueous pH comparable to phosphate buffer in buffering 1 N NaOH,whereas NaCI showed no buffering effect at all. Conclusion. The above studies have shown that Previn® (Diphoterine) is comparable to other rinsing solutions concerning its compatibility with the human eye. 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