DR. SAKSHI MAKHLOGA

, Dr.MEHUL SHAH, Dr. SHREYA SHAH, DR. RAJ VADOR

Abstract

INTRODUCTION: CHEMICAL LIME INJURY,OF THE CONJUNCTIVA & CORNEA IS A TRUE OCULAR EMERGENCY & REQUIRES IMMEDIATE INTERVENTION.IT EXTENSIVELY DAMAGE OCULAR SURFACE & ANTERIOR SEGMENT LEADING TO VISUAL IMPAIRMENT & DISFIGUREMENT DUE TO CONJUNCTIVAL ADHESIONS & MARKED CORNEAL-OPACITY,MELTING,ULCERS & PERFORATIONS.

METHODS:THIS IS A CASE OF 8 YEAR OLD WITH 15 DAYS OLD LIMESTONE INJURY.EXAMINATION REVEALED LIME PARTICLES OVER CONJUCTIVA & CORNEA,PLAQUES IN FORNICES WITH LIMBAL ISCHEMIA.AFTER SALINE WASH,PLAQUE REMOVED,AMG WITH SYMBLEPHARON RING PLACED & TOPICAL TREATMENT STARTED & WAS FOLLOWED UP.CORNEAL MELTING NOTED AFTER 1 MONTH,SO SYMBLEPHARON RING WAS REMOVED & AMG WAS SUTURED.LATER PKP & AMG WITH CENTRAL OPENING & LATERAL TARSORHAPHY WAS DONE.

CONCLUSION:EARLY RECOGNITION & MANAGEMENT IS IMPORTANT AS LIME INJURY HAS VERY POOR PROGNOSIS.TREATMENT OF CORNEAL BLINDNESS FOLLOWING OCULAR SURFACE BURNS MAY GIVE REWARDING RESULTS.EARLY VISUAL REHABILITATION IS ESSENTIAL TO PREVENT AMBLYOPIA.