TY  - JOUR
PY  - 2023//
TI  - Management of multi-surface ocular burns caused by molten iron
JO  - Trauma case reports
A1  - Singla, Ekta
A1  - Jha, Ujjwal Prakash
A1  - Muralidharan, Shruti
A1  - Singh, Rohan Bir
A1  - Ichhpujani, Parul
SP  - e100925
EP  - e100925
VL  - 48
IS  - 
N2  - Ocular thermal burns are medical emergencies that require immediate intervention before the standard management protocol, which involves obtaining a detailed history and performing an ophthalmic examination. In this case report, we report the clinical manifestations of ocular burns caused by molten iron and the steps taken for good clinical outcomes. The patient presented with an inferior epithelial defect and limbal and lower lid ischemia at four hours post-injury. Over the course of treatment, due to non-resolving epithelial defect and increased superior lid notching, amniotic membrane transplantation (AMT) and lid repair by pentagon wedge excision were performed. Following AMT, the corneal surface completely healed with residual opacity and neovascularization. Additionally, limbal ischemia was significantly reduced with the restoration of normal lid anatomy. Corneal burns initiate a cascade of inflammatory reactions disrupting the balance between pro- and anti-angiogenic factors, leading to corneal neovascularization. The eyelid damage can lead to necrosis of tissues with eschar formation and eventually quantitative tissue loss. Therefore, timely intervention is the key to the successful management of ocular burns.<p />  <p>Language: en</p>
LA  - en
SN  - 2352-6440
UR  - http://dx.doi.org/10.1016/j.tcr.2023.100925
ID  - ref1
ER  -