| A Case of Alkali Burn Treated With Amniotic Membrane Graft and Forniceal Reconstruction. |
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Jeong Mo Han, Hyuk Jin Choi, Won Ryang Wee, Jin Hak Lee, Mee Kum Kim |
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. |
| 염기에 의한 전안부 수상 환자에서 양막이식술과 결막구석재건술을 통한 치료 1예 |
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한정모1ㆍ최혁진1ㆍ위원량1,2ㆍ이진학1,2,3ㆍ김미금1,2 |
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Department of Ophthalmology, Seoul National University College of Medicine1, Seoul, Korea Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute2, Seoul, Korea Department of Ophthalmology, Seoul National University Bundang Hospital3, Seongnam, Korea |
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| 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. |
| Key Words:
Alkali burn;Amniotic membrane graft;Forniceal reconstruction;Debridement |
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