Chemical toxic exposures and chronic ocular pain

Chronic ocular pain is a common, debilitating chronic pain condition with significant morbidity and negative impact in patients’ quality of life. Several, diverse types of insults to the ocular surface can lead to acute, and under certain conditions to chronic ocular pain, and these include toxic ir...

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Main Authors: Mateusz Graca, Konstantinos Sarantopoulos, Danielle Bodzin Horn
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Toxicology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/ftox.2023.1188152/full
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author Mateusz Graca
Konstantinos Sarantopoulos
Danielle Bodzin Horn
author_facet Mateusz Graca
Konstantinos Sarantopoulos
Danielle Bodzin Horn
author_sort Mateusz Graca
collection DOAJ
description Chronic ocular pain is a common, debilitating chronic pain condition with significant morbidity and negative impact in patients’ quality of life. Several, diverse types of insults to the ocular surface can lead to acute, and under certain conditions to chronic ocular pain, and these include toxic irritants. Exposure of ocular surface to toxic irritants, in addition to direct tissue injury, carries the capacity to generated intense immune and neuronal responses with hyper-excitability, sensitization and chronic pain. Because, chronic ocular pain subsequent to toxic exposures is relatively unrecognized clinical entity, this brief review highlights pertinent concepts of its epidemiology, pathogenesis/pathophysiology, clinical progression, with recommendations for its clinical management that clinicians may find helpful. Suppression of pain signaling, generating neuronal sensitization, and prevention of chronicity of neuropathic pain is particularly emphasized in this respect.
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spelling doaj.art-97a4d35345fa4f1894a758b98dc2c6182023-08-10T11:49:04ZengFrontiers Media S.A.Frontiers in Toxicology2673-30802023-08-01510.3389/ftox.2023.11881521188152Chemical toxic exposures and chronic ocular painMateusz Graca0Konstantinos Sarantopoulos1Danielle Bodzin Horn2Department of Anesthesiology, Rush University Medical Center, Chicago, IL, United StatesDepartment of Anesthesiology, Perioperative Medicine and Pain Medicine, University of Miami Miller School of Medicine, Miami, FL, United StatesDepartment of Anesthesiology, Perioperative Medicine and Pain Medicine, University of Miami Miller School of Medicine, Miami, FL, United StatesChronic ocular pain is a common, debilitating chronic pain condition with significant morbidity and negative impact in patients’ quality of life. Several, diverse types of insults to the ocular surface can lead to acute, and under certain conditions to chronic ocular pain, and these include toxic irritants. Exposure of ocular surface to toxic irritants, in addition to direct tissue injury, carries the capacity to generated intense immune and neuronal responses with hyper-excitability, sensitization and chronic pain. Because, chronic ocular pain subsequent to toxic exposures is relatively unrecognized clinical entity, this brief review highlights pertinent concepts of its epidemiology, pathogenesis/pathophysiology, clinical progression, with recommendations for its clinical management that clinicians may find helpful. Suppression of pain signaling, generating neuronal sensitization, and prevention of chronicity of neuropathic pain is particularly emphasized in this respect.https://www.frontiersin.org/articles/10.3389/ftox.2023.1188152/fullchemical injurytoxicityocular surfacecorneaocular pain
spellingShingle Mateusz Graca
Konstantinos Sarantopoulos
Danielle Bodzin Horn
Chemical toxic exposures and chronic ocular pain
Frontiers in Toxicology
chemical injury
toxicity
ocular surface
cornea
ocular pain
title Chemical toxic exposures and chronic ocular pain
title_full Chemical toxic exposures and chronic ocular pain
title_fullStr Chemical toxic exposures and chronic ocular pain
title_full_unstemmed Chemical toxic exposures and chronic ocular pain
title_short Chemical toxic exposures and chronic ocular pain
title_sort chemical toxic exposures and chronic ocular pain
topic chemical injury
toxicity
ocular surface
cornea
ocular pain
url https://www.frontiersin.org/articles/10.3389/ftox.2023.1188152/full
work_keys_str_mv AT mateuszgraca chemicaltoxicexposuresandchronicocularpain
AT konstantinossarantopoulos chemicaltoxicexposuresandchronicocularpain
AT daniellebodzinhorn chemicaltoxicexposuresandchronicocularpain