title: Sequels, complications and management of a chemical burn associated with cement splash.
abstract: We present a case of successful superficial keratectomy and amniotic membrane grafting to re-establish ocular surface from denuded stroma and significant limbal ischemia caused by a cement splash. We fully documented a case report about the sequels, complications and management strategies of a chemical burn to the eyes associated with a cement splash. Slit lamp examination, visual acuity test as well as all common cultures and stains were performed to measure the outcome. Visual acuity significantly improved from 0.2 to best-corrected visual acuity 0.7 at the 5-month postoperative visit. The cornea regained its clarity. Total re-epithelialization of the injured area was observed. It is of primary importance to remove all the debris from a cement splash at the first available opportunity. Superficial keratectomy and amniotic membrane grafting may be the best methods for the re-epithelialization and reconstruction of the ocular surface.
authors.affiliation: Department of Ophthalmology, Chang Gung Memorial, Taipei, ROC.
authors.forename: Gerald C S
authors.initials: GC
authors.lastname: Lim
authors.forename: Lung-Kun
authors.initials: LK
authors.lastname: Yeh
authors.forename: Hsin-Chiung
authors.initials: HC
authors.lastname: Lin
authors.forename: Chao-Ming
authors.initials: CM
authors.lastname: Hwang
mesh_terms: D000328:Adult; D000650:Amnion / Q000637:transplantation*; D002057:Burns, Chemical / Q000150:complications / Q000601:surgery*; D003315:Cornea / Q000601:surgery*; D005131:Eye Injuries / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male