J Korean Ophthalmol Soc.  2010 Jul;51(7):1010-1015. 10.3341/jkos.2010.51.7.1010.

A Case of Alkali Burn Treated With Amniotic Membrane Graft and Forniceal Reconstruction

Affiliations
  • 1Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea.
  • 2Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute, Seoul, Korea.
  • 3Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea.

Abstract

PURPOSE
To report a case of alkali burn treated successfully with early surgical intervention including amniotic membrane graft and forniceal reconstructionand the restored visual acuity. CASE SUMMARY: A 23-year-old woman was referred for alkali burn of her right eye after being splashed with a drop of 40% sodium hydroxide. Slit-lamp microscopic examination showed the patient's cornea was edematous, and hazy and limbal ischemia involved half of the cornea, which can supposedly lead to eyelid deformity and symblepharon. Debridement of all necrotic tissues, immediate amniotic membrane permanent graft and transient forniceal covering with amniotic membrane were conducted a day after the burn. Corneal and conjunctival epithelial defects were completely healed in five weeks, and visual acuity was restored to 20/20 in eight weeks. Additional surgeries for allogenic limbal transplantation and autologous oral mucosal graft were performed to resolve symblepharon.

Keyword

Alkali burn; Amniotic membrane graft; Forniceal reconstruction; Debridement

MeSH Terms

Alkalies
Amnion
Burns
Congenital Abnormalities
Cornea
Debridement
Eye
Eyelids
Female
Humans
Hydroxides
Ischemia
Sodium Hydroxide
Transplants
Visual Acuity
Young Adult
Alkalies
Hydroxides
Sodium Hydroxide
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