Journal of Clinical and Experimental Ophthalmology
Open Access
ISSN: 2155-9570
ISSN: 2155-9570
Shreya Thatte
Sri Aurobindo Institute of Medical College, India
Posters & Accepted Abstracts: J Clin Exp Ophthalmol
Journey of ocular chemical burn can lead to sight threatening problems. Delayed complications damage entire ocular surface, from obliteration of fornices by symblepharon to partial or total stem cell loss leading to conjunctivalization of cornea. It requires reconstruction of fornices and rejuvenating conjunctival and corneal surfaces by stem cell grafting. It may be very frustrating as it is not a single stage management; it requires step by step approach. Bilateral involvements are very difficult to treat but in unilateral cases, stem cells of other eye are available to recover loss. This presentation will discuss management of unilateral delayed complications of ocular burn. Step by step approach depends on severity of symblepharon and degree of stem cell loss. Mild to moderate symblepharon can be treated along with stem cell transplantation but severe symblepharon requires, first its correction and later stem cell grafting. Success of stem cell transplantation of cornea depends on environment of ocular surface, therefore it is necessary to rebuild ocular surface. Amniotic membrane is proved to be effective in reconstructing the entire ocular surface. Properties of amniotic membrane enables to reform fornix after release of symblepharon. To rejuvenate cornea, conjunctivalization of corneal surface is cleared off by keratectomy. After preparing bed, stem cells from other eye transplanted by SLET procedures. This step by step surgical management strategy achieves near normal ocular surface and helps in restoring vision.
Email: shreyathatte@gmail.com