Abstract

Case report: A 4 year old female with history of exposure to lime in right eye 6 months back presented with pain and watering.On examination Inferior dense symblepharon was noted with peripheral superficial corneal neovascularization from 4'0 clock to 8'0 clock .Fluorescein positive 5*5 mm central epithelial defect noted with corneal edema.Rest details were not visible.B scan and IOP was normal.Symblepharon release with double layer AMG done .On followup fibrovascular pannus noted over whole cornea.Autologous SLET was done.1 year later patient presented with central corneal scar.AS-OCT suggested CCT of 257 microns and corneal scar extending upto Descemet's membrane.Right eye Penetrating keratoplasty done .Patient was managed with topical antibiotics and steroids.On follow up EUA; graft was clear and sutures were intact.
Conclusion:AMG and SLET can be done once acute inflammation is settled with medical management; however on a thinned out cornea with scar OPK can be done.