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Saudi Journal of Medical and Pharmaceutical Sciences (SJMPS)
Volume-5 | Issue-11 | 992-994
Case Report
Amniotic Membrane Transplantation as an Alternative in Chemical Injury to Cornea
Ashok Rathi, R.S. Chauhan, Nidhi Singh, Gautam Jain
Published : Nov. 28, 2019
DOI : 10.36348/sjmps.2019.v05i11.012
Abstract
A chemical injury of the eye presents a genuine, acute emergency and requires immediate evaluation and management. Ocular chemical injury management remains one of the most difficult ocular emergencies. The prognosis for an eye injury depends not only on the severity of the injury but also on the rapidity and mode of initial treatment. Reconstruction of ocular surface following chemical burn by amniotic membrane (AM) for grafting is a very effective technique. AM graft promotes epithelial regeneration and facilitates migration of epithelial cells. Eight years old boy presented with ocular chemical injury by chemical mixed water holi balloon in his left eye. Patient presented with severe pain, excessive watering, with swollen lids and conjunctiva. More than 90% of the cornea surface, whole of the bulbar as well as palpaberal conjunctiva was eroded and whole eye was stained with green colour (chemical). Amniotic Membrane Transplantation (AMT) done under general anesthesia with corneal continuous girdle suture, conjunctival forniceal lid sutures and finally Bandage Contact Lens was applied. Patient had three months follow regular follow up and was clinically asymptomatic.
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