Clinical Spectrum and Treatment Approaches in Corneal Burns
Objectives: To evaluate the clinical findings, treatment modalities and long-term prognosis of chemical and thermal burns of the cornea. Materials and Methods: Twenty-one patients (27 eyes) who were followed at two centers for corneal chemical and thermal burns between 2001 and 2013 were included...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2015-10-01
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| Series: | Türk Oftalmoloji Dergisi |
| Subjects: | |
| Online Access: | http://www.oftalmoloji.org/article_9846/Clinical-Spectrum-And-Treatment-Approaches-In-Corneal-Burns |
| Summary: | Objectives: To evaluate the clinical findings, treatment modalities and long-term prognosis of chemical and thermal burns of the
cornea.
Materials and Methods: Twenty-one patients (27 eyes) who were followed at two centers for corneal chemical and thermal burns
between 2001 and 2013 were included. Eyes were grouped into four grades according to the severity of burn using Roper-Hall
classification. Age, gender, type of burn, follow-up duration, corrected visual acuity before and after treatment, treatment modalities
and complications were recorded. Patients received medical treatment or combined surgical treatment including amniotic membrane
transplantation (AMT), conjunctivolimbal autograft/allograft (CLAU/CLAL) transplantation, keratolimbal allograft (KLAL) or
penetrating keratoplasty (PKP).
Results: Patients had a mean age of 27.1±15.5 years (range, 6 months-56 years) and were followed for a mean 63.2±58.6 weeks (4-
160 weeks). Significant improvement was achieved with medical treatment alone in patients with grade I (4 eyes) and 2 burns (8 eyes).
Patients with grade III burns (11 eyes) underwent CLAU (6 eyes), combined AMT/CLAU (3 eyes), AMT/CLAL (1 eye), or CLAL+PKP
(1 eye), while patients with grade IV burns (4 eyes) had keratectomy+CLAL/AMT (1 eye), keratectomy+CLAL+PKP after recurrence
with CLAU/AMT (1 eye), CLAU+PKP (1 eye), and AMT/KLAL+PKP (1 eye). All patients except the latter showed ocular surface
stabilization with these procedures.
Conclusion: Ocular burns cause severe impairment of the ocular surface. It is possible to achieve good results with appropriate medical
treatment and surgeries including ocular surface reconstruction. (Turk J Ophthalmol 2015; 45: 182-187) |
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| ISSN: | 1300-0659 2147-2661 |