Abstract :
Ocular surface burns require timely interventions to prevent any blinding sequelae. We report a case of
an accidental alkali injury successfully managed in terms of eye integrity and visual rehabilitation. A 28-
years-old male factory worker presented to the emergency eye care department with accidental spill of
caustic soda in left eye before two hours. On presentation, patient was managed with immediate eye
irrigation. Ocular examination revealed LE Dua’s grade IV injury and visual acuity of counting fingers
at 3 meters. Patient was managed with medical treatment and amniotic membrane transplant with
tenonplasty for delayed epithelization due to limbal ischemia. Complete ocular surface epithelization
was achieved with visual acuity improvement to 6/6 with glasses in LE. Ocular surface burns with alkali
agents can cause severe damage to an eye. Immediate eye wash and appropriate medical therapy with
timely surgical interventions can prevent blinding sequelae and reduce ocular surface co-morbidities.
Keyword :
: Ocular surface burns, alkali injury, amniotic membrane transplant, tenonplasty