Description
A 16-year-old male presented with deep dermal burns of upper and lower eyelids and decreased vision in left eye after falling on a hot silencer of a motorcycle 2 weeks before. His best-corrected visual acuity was 6/6 and light perception in right and left eye, respectively. Skin over the left side of the nose, root of the nose and right medial brow area was necrotic extending up to submusculoaponeurotic layer (figure 1A). There was localised corneal perforation inferiorly with iris prolapse and shallow anterior chamber in left eye. Urgent debridement was performed under general anaesthesia. Necrosis was involving tarsal plates in both the eyelids. Corneal perforation was sealed with cyanoacrylate glue along with permanent tarsorrhaphy to prevent exposure keratopathy. Three weeks later, eyelid was reconstructed with split thickness skin graft harvested from right anterolateral thigh along with paramedian forehead musculocutaneous flap (figure 1B). Corneal...
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