Patient No | Sex/age | Agent/eye | Key findings | Non-ocular injuries | Days between injury and AMT | Additional procedures | Indication for additional procedures | Outcome |
1 | Male/45 | Thermal/L | Lid burns, 95% conjunctival loss, 360° limbal ischaemia, 100%ED with stromal clouding, no iris details, 2° glaucoma | nil | 13 | Lateral tarsorrhaphy Vitreous biopsy Upper lid reconstruction Tectonic PK Rpt AMT Lat tarsorrhaphy Buccal mucous memb graft to lids | Corneal exposure To exclude endophthalmitis Lid necrosis Corneal perforation Persistent epithelial defect Corneal exposure Poor lid closure | Lid sparing exenteration 8 months after injury |
2a | Male/65 | Alkali/R | Lid burns, fixed globe, 100% conjunctival loss, 360° limbal ischaemia,100%ED with melting cornea, flat AC, cataract | Burns of face, left shoulder and back | 8 | Rpt AMT Lamellar limbal corneal graft with AMT UL reconstruction Aspiration of lens matter | Persistent epithelial defect Corneal melt UL symblepharon Swollen cataract | Autoevisceration 1 year after injury |
2b | Male/65 | Alkali/L | Lid burns, fixed globe, 100% conjunctival loss, 360º limbal ischaemia,100%ED with melting cornea, flat AC, cataract | Burns of face, left shoulder and back | 8 | Rpt AMT | Persistent epithelial defect | Autoevisceration 50 days after injury |
3 | Male/40 | Acid/R | Lid burns, 100% conjunctival loss, 360° limbal ischaemia, 100% ED with stromal clouding, cataract | Burns of scalp and shoulders | 19 | Tenoplasty Keratolimbal allograft and AMT Living related limbal allograft LL symblepharon correction Keratolimbal allograft and AMT Tarsorrhaphy and entropion surgery Lamellar patch corneal graft Large tectonic PK Keratoprosthesis with vitrectomy, RD surgery silicone oil and replacement of graft | Limbal ischaemia Persistent epithelial defect Persistent epithelial defect Symblepharon and exposure Persistent epithelial defect Entropion and corneal exposure Corneal perforation Corneal perforation Retinal detachment | Phthysis bulbi 2 years after injury |
ED = epithelial defect; AC = anterior chamber; PK = penetrating keratoplasty; AMT = amniotic membrane transplantation; UL = upper lid; LL = lower lid; RD = retinal detachment.