Scanzera Angelica C, Ahmad Amjad, Shorter Ellen
Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, Illinois, USA.
Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois, USA.
Case Rep Ophthalmol. 2021 Apr 12;12(1):243-247. doi: 10.1159/000511223. eCollection 2021 Jan-Apr.
Severe chemical burns can damage the periocular area causing exposure keratopathy and resulting in ocular pain, foreign body sensation, epiphora, photophobia, and vision loss. A custom fit large diameter therapeutic scleral lens can protect the ocular surface by preventing desiccation and providing immediate improvement in comfort. This case describes the management of a patient with extensive chemical burn with complete lid loss and exposure keratopathy who has maintained excellent visual acuity and comfort with therapeutic scleral lens use.
严重的化学烧伤会损害眼周区域，导致暴露性角膜病变，进而引起眼痛、异物感、流泪、畏光和视力丧失。定制的大直径治疗性巩膜镜可通过防止眼表干燥并立即改善舒适度来保护眼表。本病例描述了一名患有广泛化学烧伤且完全睑裂缺损和暴露性角膜病变的患者的治疗情况，该患者使用治疗性巩膜镜后保持了极佳的视力和舒适度。
