ESCRS - PO0164 - Treatment Of Corneal Alkali Burn With Vitamin C

Treatment Of Corneal Alkali Burn With Vitamin C

Published 2023 - 41st Congress of the ESCRS

Reference: PO0164 | Type: Case report | DOI: 10.82333/b641-zd05

Authors: Magdalena Kucharczyk-Pospiech* 1 , Michal Wilczynski 1 , Wojciech Omulecki 1

1Department of Ophthalmology,Medical University of Lodz,Lodz,Poland

Demonstration of  functional outcomes after alkali-related ocular  burn treatment.

Norbert Barlicki University Teaching Hospital No. 1 in Lodz, Medical University of Lodz, Poland

We report on a 44-year-old patient with bilateral corneal alkali burn. One hour after chemical burn his best corrected visual acuity (BCVA) was 0.3 in the right eye and 0.5 in the left eye. Acute medical management included copious irrigation and the use of analgesic, cycloplegic (1% tropicamide) and topical ofloxacin. The patient was treated with vitamin C administered intracamerally,  topically and intravenously. Moreover, he received topically dexpanthenol and  autologous serum eye drops. After corneal epithelium healing he received dexamethasone topically.  One month later his BCVA  was 0.8 in the right eye and 1.0 in the left eye. Nevertheless, the patient suffered for a long time for severe dry eye syndrome.

The intracameral, intravenous and topical administration of vitamin C accelerates corneal healing after alkali-related ocular burns.