염기에 의한 전안부 수상 환자에서 양막이식술과 결막구석재건술을 통한 치료 1예

• 영문명: A Case of Alkali Burn Treated With Amniotic Membrane Graft and Forniceal Reconstruction
• 발행기관: 대한안과학회
• 저자명: 한정모 최혁진 위원량 이진학 김미금,Jeong Mo Han, MD, Hyuk Jin Choi, MD, Won Ryang Wee, MD,, Jin Hak Lee, MD,,, Mee Kum Kim, MD,
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume51,number7, 1010~1015쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2010.07.15

영문 초록

Purpose: To report a case of alkali burn treated successfully with early surgical intervention including amniotic membrane graft and forniceal reconstructionand the restored visual acuity. Case summary: A 23-year-old woman was referred for alkali burn of her right eye after being splashed with a drop of 40% sodium hydroxide. Slit-lamp microscopic examination showed the patient’s cornea was edematous, and hazy and limbal ischemia involved half of the cornea, which can supposedly lead to eyelid deformity and symblepharon. Debridement of all necrotic tissues, immediate amniotic membrane permanent graft and transient forniceal covering with amniotic membrane were conducted a day after the burn. Corneal and conjunctival epithelial defects were completely healed in five weeks, and visual acuity was restored to 20/20 in eight weeks. Additional surgeries for allogenic limbal transplantation and autologous oral mucosal graft were performed to resolve symblepharon.

키워드

Alkali burn, Amniotic membrane graft, Forniceal reconstruction, Debridement