Ocular surface and fornix reconstruction with amniotic membrane grafting
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.