RESEARCH ARTICLES

OFTALMOLOGI : Jurnal Kesehatan Mata Indonesia, 30 Dec 2020 | 1
Year : 2020 | Volume: 2 | Issue: 2 | Pages : 1

A SUCCESSFUL AMNIOTIC MEMBRANE TRANSPLANT FOR ACUTE
CORNEAL THERMAL INJURY: A CASE REPORT

  • 1Corneo - Lens Division, Ophthalmology Department, Faculty of Medicine Udayana University, Sanglah Hospital, Bali, Indonesia, , ID
  • 2Ophthalmology Department, Faculty of Medicine Udayana University, Sanglah Hospital, Bali,, , ID

Introduction: Burns to the eyelids, conjunctiva, cornea, or sclera, whether from thermal energy or a
chemical cause, are a true ophthalmic emergency. Typical of the injury may vary but requires immediate
evaluation and treatment. Ideal treatments aim to maximize corneal re-epithelialization and minimize
both adnexal structural abnormalities as well as corneal vascularization or conjunctivalization.
Objective: The objective is to present interventional management in patients with acute corneal thermal
injury.
Case Presentation: A 18 years-old girl was consulted from Plastic Surgery Department with diagnosed
with grade I combustion at the face and right hand. Patient complained about ocular pain and blurred
vision after got drenched with hot water on the right eye. The visual acuity measured 6/30 pin hole 6/15
on right eye. Normal intra ocular pressure on both eyes. The examination of the right eye revealed
redness, swelling, combustion and excoriation on eyelid; ciliary injection on the conjunctiva, 360 degree
chemosis limbal. The cornea was hazy with necrotic tissue and fluorescein test was positive with erosion
whole surface, iris details were visible and lens was clear. The patient was planned for amniotic
membrane transplant. The visual acuity one day after surgery was 2/60 and the examination was found
ciliary injection, subjconjunctival bleeding and sutured amniotic membrane with bandage contact lens
on the cornea. One month after surgery, her visual acuity become 6/6 with very light scar on the
periphery of the cornea.
Conclusion: Acute corneal thermal injury is a common injury and potentially blind if not treated properly.
Good visual prognosis can still be obtained with early diagnosis and appropriate treatment, making
correct and definitive diagnosis are very important in daily clinical practices for general ophthalmologist.

Keywords: Acute Corneal Thermal Injury, Amniotic Membrane Transplant

Citation: Siska*,Dewi AAASN,Siska,Dewi AAASN ( 2020), A SUCCESSFUL AMNIOTIC MEMBRANE TRANSPLANT FOR ACUTE
CORNEAL THERMAL INJURY: A CASE REPORT. OFTALMOLOGI : Jurnal Kesehatan Mata Indonesia, 2(2): 1

Received: 26/12/2020; Accepted: 26/12/2020;
Published: 30/12/2020

Edited by:

Siska, Corneo - Lens Division, Ophthalmology Department, Faculty of Medicine Udayana University, Sanglah Hospital, Bali, Indonesia, , ID

Reviewed by:

Antonia Kartika , , PMN RS Mata Cicendo Bandung, US

Tim Editor , , PMN RS Mata Cicendo Bandung, ID

*Correspondence: Siska,