Corneoscleral Laceration and Ocular Burns Caused by Electronic Cigarette Explosions

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Abstract

Purpose:

To report cases of acute globe rupture and bilateral corneal burns from electronic cigarette (EC) explosions.

Methods:

Case series.

Results:

We describe a series of patients with corneal injury caused by EC explosions. Both patients suffered bilateral corneal burns and decreased visual acuity, and one patient sustained a unilateral corneoscleral laceration with prolapsed iris tissue and hyphema. A review of the scientific literature revealed no prior reported cases of ocular injury secondary to EC explosions; however, multiple media and government agency articles describe fires and explosions involving ECs, including at least 4 with ocular injuries.

Conclusions:

Given these cases and the number of recent media reports, ECs pose a significant public health risk. Users should be warned regarding the possibility of severe injury, including sight-threatening ocular injuries ranging from corneal burns to full-thickness corneoscleral laceration.

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