ISSN: 2459 - 1777 | E-ISSN 2587-0394
Volume: 3
Issue: 3
Year: 2018
Conjunctival limbal autograft combined with amniotic membrane transplantation for the treatment of a moderate chemical eye injury [Beyoglu Eye J]
Beyoglu Eye J. Ahead of Print: BEJ-57966 | DOI: 10.14744/bej.2019.57966  

Conjunctival limbal autograft combined with amniotic membrane transplantation for the treatment of a moderate chemical eye injury

Cem Cankaya
Department of Ophthalmology, Inonu University School of Medicine, Malatya, Turkey

A 25-year-old male patient presented to our clinic with the complaints of exposure to chemical trauma to his left eye. Visual acuity was 0.05 in the left eye and 10/10 in the right eye with Snellen charts. On slit lamp examination conjunctival hyperemia and limbal ischemia between 1 and 6 clock hours (approximately 5 clock hours) were observed. The cornea was edematous in this area, and a corneal epithelial defect adjacent to limbal ischemia area was present. The anterior chamber, iris and lens were normal, and the fundus could not be evaluated at that moment. Conjunctivalization and excessive neovascularization were observed in the limbal ischemic area at the end of the 4th week with medical treatment. Visual acuity was 0.3 and the epithelial defect healed. At the end of the 6th week, conjunctival limbal autograft (CLAU) combined with amniotic membrane (AM) transplantation surgery was performed. Corneal neovascularization completely disappeared in the ischemic area where both CLAU and AM transplantation were performed at subsequent visits. Visual acuity improved to 0.7 and the complaints of the patient decreased.

Keywords: Chemical eye injury, conjunctival limbal autograft, amniotic membrane transplantation.




Corresponding Author: Cem Cankaya, Türkiye


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