PMC8287404_01
PMC8287404_02
PMC8287404_03
A patient presented with right grade-IV occupational chemical eye
injury (CEI). (a and b) Slit-lamp photographs demonstrating a
near-total limbal ischaemia spanning 10 clock-hours (from 3 to 1
o'clock), evidence by the limbal staining and whitening. The cornea
appears to be hazy and oedematous, obscuring the iris details. (c
and d) At 6 months post-injury, slit-lamp photographs demonstrating
a right partial limbal stem cell deficiency (LSCD), evidenced by the
stippled fluorescein staining that affected the visual axis. The
vision was 0.80 logMAR. A small central 3 mm epitheliectomy was
performed and improved the vision to 0.20 logMAR. (e and f) At 15
months post-injury, slit-lamp photographs demonstrating right
complete LSCD affecting the visual axis, despite superficial
epitheliectomy. Vision remained at 0.80 logMAR.
10.1177_25158414211030429-fig1.jpg
PMC8287404_03_10.1177_25158414211030429-fig1.jpg
fig1-25158414211030429
Slit-lamp examination revealed a right injected eye, with conjunctival oedema and limbal ischaemia spanning 10 clock-hours (3 to 1 o'clock position; Figure 1(a) and (b)). At 6-month follow-up, the patient complained of ongoing reduced vision (CDVA of 0.80 logMAR) due to LSCD affecting the visual axis (Figure 1(c) and (d). At last follow-up (15 months post-injury), the right vision remained at 0.80 logMAR and the patient was placed on the waiting list for simple limbal epithelial transplantation to treat his persistent LSCD (Figure 1(e) and (f)).