Abstract

INTRODUCTION:MOST DANGEROUS OCULAR INJURY IS BURN DUE TO CHEMICAL IRRITANT QUICKLIME.IT IS A TRUE OCULAR EMERGENCY AS IT RESULTS IN CONJUNCTIVAL ADHESIONS AND MARKED CORNEAL OPACITY.SEVERE ALKALI INJURIES DON’T EPITHELISE,MORE PRONE TO CORNEAL MELTS,ULCERS,PERFORATIONS.
METHODS: THIS IS A CASE OF 8 YEAR OLD MALE WITH LIMESTONE INJURY 15 DAYS IN LEFT EYE.ON EXAMINATION-LIME PARTICLES OVER CONJUCTIVA AND CORNEA,PLAQUES IN FORNICES WITH LIMBAL ISCHEMIA.SALINE WASH GIVEN AND TOPICAL TREATMENT STARTED,PLAQUE REMOVAL,AMG WITH SYMBLEPHARON RING WAS PLACED.HOWEVER AFTER 1 MONTH CORNEAL MELTING NOTED,SYMBLEPHARON RING WAS REMOVED AND AMG PLACED.LATER PKP AND AMG WITH CENTRAL OPENING AND LATERAL TARSORHAPHY WAS DONE.