Close
  Indian J Med Microbiol
 

Figure 1: Pre and 2-month post-MMG for LMK in the left eye of a 9-year-old child who developed SJS 5 years back following a drug reaction. Lid suture removal was performed at 1-week post-surgery. Postoperative care included topical antibiotic ointment for 2 weeks along with antiseptic mouthwash for 1 week. Topical lubricants are being continued. No perioperative steroids in any form (topical or systemic) were administered. No bandage contact lens was used postoperatively. (a) Preoperative diffuse corneal haze and vascularization of the cornea obscuring details of anterior chamber, exotropia, and gradual decrease of vision in the past 1 year. (b) Postoperative clear cornea with regression of vascularization and restoration of corneal clarity with improvement in vision and exotropia, ready to initiate amblyopia therapy. (c and d) Preoperative diffuse corneal staining (c) completely resolved after the surgery. (e and f) Preoperative (e) diffuse upper tarsal surface keratinization; postoperative (f) well placed and vascularized mucosal graft with restoration of normal lid margin and absence of keratinization. (g and h) Preoperative (g) lower lid margin keratinization; postoperative (h) postoperative well placed and vascularized mucosal graft with restoration of normal lid margin and absence of keratinization. This highlights the effect of constant blink induced microtrauma by the LMK leading to diffuse epitheliopathy and reversible limbal damage and stress causing diffuse vascularization. Further delay in intervention would have led to irreversible limbal stem cell deficiency

Figure 1: Pre and 2-month post-MMG for LMK in the left eye of a 9-year-old child who developed SJS 5 years back following a drug reaction. Lid suture removal was performed at 1-week post-surgery. Postoperative care included topical antibiotic ointment for 2 weeks along with antiseptic mouthwash for 1 week. Topical lubricants are being continued. No perioperative steroids in any form (topical or systemic) were administered. No bandage contact lens was used postoperatively. (a) Preoperative diffuse corneal haze and vascularization of the cornea obscuring details of anterior chamber, exotropia, and gradual decrease of vision in the past 1 year. (b) Postoperative clear cornea with regression of vascularization and restoration of corneal clarity with improvement in vision and exotropia, ready to initiate amblyopia therapy. (c and d) Preoperative diffuse corneal staining (c) completely resolved after the surgery. (e and f) Preoperative (e) diffuse upper tarsal surface keratinization; postoperative (f) well placed and vascularized mucosal graft with restoration of normal lid margin and absence of keratinization. (g and h) Preoperative (g) lower lid margin keratinization; postoperative (h) postoperative well placed and vascularized mucosal graft with restoration of normal lid margin and absence of keratinization. This highlights the effect of constant blink induced microtrauma by the LMK leading to diffuse epitheliopathy and reversible limbal damage and stress causing diffuse vascularization. Further delay in intervention would have led to irreversible limbal stem cell deficiency