Surgical rehabilitation following severe ocular burns

Abstract

Chemical and thermal burns can cause devastating injuries to the anterior segment.

Alternatives to eye bank native tissue for corneal stromal replacement

“…In the context of ocular chemical burns, the KPro can improve postoperative visual outcomes, but is usually associated with a higher rate of post-operative complications (corneal melts, endophthalmitis etc.) (Harissi-Dagher and Dohlman, 2008;Tuft and Shortt, 2009). Finally, visual rehabilitation to prevent amblyopia can be another possible indication in the pediatric population with corneal opacities, but this needs further long-term evaluation (Aquavella et al, 2007).…”

Glaucoma in Eyes With Severe Chemical Burn, Before and After Keratoprosthesis

“…[5][6][7] Keratoplasty combined with limbal stem cell graft is reported to give better outcome; but for allografts, long-term immunosuppression is necessary. [8][9][10] Keratoprostheses (KPros), of various earlier models, have in the past been known to often give good results immediately after surgery, but late severe complications have been frequent. [11][12][13] More recently, however, the Boston Keratoprosthesis (BKPro) has been proven to be much safer than previous KPros and it has been reasonably well retained after chemical burns although they have at times revealed irreversible non-corneal complications, including glaucoma.…”

Wound-healing effect of micronized sacchachitin (mSC) nanogel on corneal epithelium

“…Potential management strategies of ocular thermal and chemical injuries have been proposed. 1,2 In brief, once patients suffering from a chemical injury present to the emergency department of a hospital, the chemical should be identified if possible but treatment of the patient should not be delayed. Immediate treatment should include copious irrigation to neutralize the pH prior to ophthalmic injury evaluation.…”