Dr.Iva Rani Kalita, Dr.Himanto Nath Hazarika
Chemical and thermal ocular burns are among the most urgent ophthalmic emergencies, often Resulting in permanent damage, and in some Cases, blindness.Thermal burns account for 16% of ocular burn Cases. For both thermal and chemical burns, severity is determined by the depth and degree of epithelial damage and limbal ischemia. If the limbus is affected significantly, the cornea may develop recurrent epithelial defects, and conjunctival invasion onto the cornea may occur as a Results of the loss of stem cells .In our study we considered 3 patients presenting with ocular thermal burn(cracker burn) in the emergency department with three different clinical pictures. These Cases were managed conservatively in initial days and then were considered for amniotic membrane grafting, penetrating keratoplasty in 2 patients respectively and one patient with epithelial stripping. They were subsequently followed up and the prognosis was noted in terms of vision and cosmetic aspects.
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