---
title: Chemical burns
description: "Chemical burns of the eye are emergencies that can cause rapid and severe surface damage. Alkali injuries are particularly dangerous because they penetrate deeply. ## Immediate first aid Prompt irrigation greatly influences outcome. - Begin copious irrigation with clean water…"
url: "https://bluefinvision.com/knowledge-base/topics/conditions-diseases/chemical-burns/"
updated: "2025-12-16"
category: "Conditions & Diseases"
---

# Chemical burns

Chemical burns of the eye are emergencies that can cause rapid and severe surface damage. Alkali injuries are particularly dangerous because they penetrate deeply.

## Immediate first aid

Prompt irrigation greatly influences outcome.

- Begin copious irrigation with clean water or saline immediately, before hospital arrival if possible
- Remove contact lenses and sweep for particulate material
- Check and normalise pH in hospital while continuing irrigation
- Avoid neutralising acids with alkali or vice versa directly in the eye

## Ongoing management

Specialist care aims to restore the surface and prevent scarring.

- Topical antibiotics, cycloplegics, steroids, and lubricants as indicated
- Amniotic membrane grafts or stem-cell-based surface reconstruction in severe cases
- Long-term monitoring for glaucoma, scarring, and dry eye
- Protective eyewear advice for future risk reduction