ePoster listing and sessions

Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London

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Early management of eyelid chemical burns with full thickness skin grafts to prevent eye injury

Author: Chafik KEILANI
ePoster Number: 211

Purpose

During second and third-degree eyelid sulfuric acid burns, many surgeons prefer to wait until primary wound separation occurs before grafting. However, it may miss the chance to recover the eyelids and can cause ectropion resulting in delayed eyeball healing with exposure keratitis. We propose an early eyelid release and grafting to make a significant difference in long-term outcomes and to improve eyeball healing.

Methods

Here, we present the case of a woman who presented second and third-degree burns of the eyelids secondary to acid physical domestic assault and who had an early surgical management with a full-thickness skin graft.

Results

Ten days after surgery, we found the graft survived totally, and the donor site of the right arm had already healed. Eyelids were successfully grafted and the functions of both eyelids were well recovered allowing a complete cover of the eyeball. Two months after surgery, functional and cosmetic results were satisfying with no postoperative lagophthalmos or difficulties with exposure-related problems.

Conclusion

Case reports of eyelid chemical burns are very few. No specific and codified management of eyelid chemical burns was found in the literature search. This case report demonstrates significant improvements in ocular healing with early excision and grafting of eyelids after sulfuric acid burn.

Additional Authors

Abstract ID: 20-116