Posters

Clinical course and management of severe ocular surface burns in children

Poster Details

First Author: V. Mittal INDIA

Co Author(s):    R. Mittal   R. Jain   U. Vashit   P. Narang           

Abstract Details

Purpose:

To study the clinical course and management of severe ocular surface burns in pediatric patients.

Setting:

Cornea and Anterior Segment services, Sanjivni Eye Care, Ambala, Haryana, India

Methods:

Children less than 12 years of age who presented with unilateral grade 6 chemical burns (secondary to fire-cracker injuries (4), lime paste (1), cement (1), artificial colors (1)) from Jan 2010 to March 2015 and had at least 1 year of follow-up were included in the study. Demographic/clinical data, medical/surgical intervention and clinical outcomes were collected in a predesigned form. Outcome was defined as complete success (epithelized, avascular and stable corneal surface), partial success (focal recurrence LSCD but not involving visual axis) and failure (unstable ocular surface with recurrent and persistent epithelial defects or LSCD recurrence involving the visual axis).

Results:

7 eyes (7 patients) with mean age of 6 years (range 2-12) were included. All eyes underwent copious wash, debridement of foreign bodies and amniotic membrane transplantation at presentation. After complete surface epithelialization (mean 2.8 months; range 1.5-4) and inflammation control, simple limbal epithelial cell transplant (SLET) was performed in 6 eyes for total LSCD. Initial injury-SLET duration was 6 months (range 4.5-8). Outcome was success in 3 and partial success in 4 cases (underwent repeat SLET and conjunctival autograft). One case underwent PKP after SLET. Visual acuity improved from PLPR (Presentation) in all cases (CFCF to 20/20).

Conclusions:

Present study describes the complete clinical course of children with severe ocular surface burns. SLET appears to be a promising technique for treatment of total LSCD in such cases.

Financial Disclosure:

NONE