Author:
Chaudhary Simmy,Chatterjee Subhajit,Jain Neha,Basu Sayan
Abstract
Chemical injuries can severely damage the ocular surface. We present the case of a man in his 40s with severe periocular chemical injury with total lid loss and severe exposure keratopathy. He sustained burns to 45% of his body surface area and needed tracheostomy and multiple full-thickness skin grafts. Both eyes required surgery, Boston type 1 keratoprosthesis and penetrating keratoplasty for the right and left eye, respectively. There was melting in the right eye and a persistent epithelial defect in the left eye. Eventually, we suggested 18 mm diameter scleral contact lenses for both eyes to aid in ocular surface stabilisation. His best corrected visual acuity improved significantly with the scleral lenses to 20/100 and 20/320 in the right and left eyes, respectively. This case demonstrates that scleral lenses can treat the complications of exposure keratopathy and can improve vision. Therefore, they may be considered for rehabilitation of the ocular surface in eyes with severe chemical periocular injuries.
Funder
Hyderabad Eye Research Foundation
Reference74 articles.
1. ASTI. Available: https://www.asti.org.uk/a-worldwide-problem.html
2. Vitriolage (vitriolism) - a medico-socio-legal review;Kaur;Forensic Sci Med Pathol,2020
3. Resnick CM , Kaban LB . Padwa BL.62 - Hemifacial Microsomia: The Disorder and Its Surgical Management. In: Brennan PA , Schliephake H , Ghali GE , et al , eds. Maxillofacial surgery. 3rd Edn. Churchill Livingstone, 2017: 870–93.
4. Vij K . Textbook of forensic medicine and toxicology: principles and practice. 4th ed. Noida: Elsevier, 2008: p. 585.
5. Welsh J . “It was like burning in Hell”: A comparative exploration of acid attack violence (Doctoral dissertation, The University of North Carolina at Chapel Hill).
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