Follow-up of skin regeneration after heat-induced eyelid burn. (A): Lesion on day zero of treatment; (B): Lesion on day 2 of treatment; (C): Lesion on day 4 of treatment; (D): Lesion on day 14 of treatment; (E): Lesion on day 22 of treatment.
On December 7, 2021, a 15-year-old male with Down syndrome and astigmatism, suffered a burn from sudden exposure to the flame of a water heater, which affected the skin area on his upper and lower eyelids. The skin lesion was diagnosed as a second-degree burn caused by physical heat. Prior to antiseptic therapy with CD, the eye was treated for the first 48 hours with Besifloxacin 0.6% ophthalmic suspension every 8 h and a Tobramycin/dexamethasone ointment (3mg/1mg/g) every 12 h, as recommended by another physician. After 48 h, the antibiotic treatment was suspended and on December 9, 2021, treatment with CD began. The first day of CD treatment consisted of three F15 protocols (30ml CD at 3,000 ppm diluted in 1L of H2O) taken orally every 3 h until finishing the liter, and on the application of protocol D (CD at 3,000 ppm diluted 1:3 in 0.9% NaCl) over the lesion every 2-3 h. The second day of treatment was a C20 protocol (20ml CD at 3,000 ppm diluted in 1L of H2O) taken orally every hour during 10 h until finishing the liter, and the application of protocol D to the lesion every 2-3 h. Between days 3 to 7 of treatment, a C20 protocol was taken, protocol D was applied and an ophthalmic suspension was added according to protocol O (5ml CD at 3,000 ppm diluted in 50ml of 0.9% NaCl with 3ml of dimethyl sulfoxide, DMSO, at 70%) every 3-4 h. Between days 8 to 18 of the CD treatment, protocol D and O were followed.
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