Ocular surface and fornix reconstruction with amniotic membrane grafting
Contributors: Jesse Vislisel, MD; Kenneth M. Goins
This patient experienced combined alkali, thermal, and blunt trauma to the eye secondary to firework injury. He had significant limbal ischemia with a persistent corneal epithelial defect, areas of non-viable conjunctiva, and was forming symblephara despite Prokera ring placement. We performed debridement of the non-viable tissue and placed amniotic membrane grafts over the cornea, limbus, and area of debridement. We then lined the fornices with additional amniotic membrane grafts and placed fornix-forming sutures.
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last updated: 10/12/2015
