A Case of Ocular Surface Reconstruction Using Nasal and Oral Mucosa Autograft.

Lee, Seok Hyun; Kim, Jae Hoon; Kim, Jee Taek; Chun, Yeoun Sook; Kim, Jae Chan

doi:2008.49.7.1177

J Korean Ophthalmol Soc > Volume 49(7); 2008 > Article

Case Report

Journal of the Korean Ophthalmological Society 2008;49(7):1177-1182.
DOI: https://doi.org/10.3341/jkos.2008.49.7.1177 Published online July 15, 2008.

A Case of Ocular Surface Reconstruction Using Nasal and Oral Mucosa Autograft.

Seok Hyun Lee, Jae Hoon Kim, Jee Taek Kim, Yeoun Sook Chun, Jae Chan Kim

Department of Ophthalmology, College of Medicine Chung-Ang University, Seoul, Korea. jck50ey@kornet.net

비강과 구강점막 자가이식을 이용한 외안부재건술 1예

이석현ㆍ김재훈ㆍ김지택ㆍ전연숙ㆍ김재찬

Department of Ophthalmology, College of Medicine Chung-Ang University, Seoul, Korea

Correspondence: Seok Hyun Lee, M.D.

Abstract

PURPOSE
To report a case of ocular surface reconstruction using nasal and oral mucosa auto grafts on a man whose ocular surface was deformed by a chemical burn. CASE SUMMARY: A 48-year-old man was injured when his right eye was exposed to alkali solution. He underwent fifteen operations, including amniotic membrane auto grafts and fornix reconstructions. However, his right eye still suffered from symble pharon, drying, corneal neovascularization, and erosion. We performed ocular surface reconstruction with free autologous nasal and oral mucosal transplantation and amniotic membrane graft. By one month after surgery, his eye showed no evidence of symble pharon or fibrovascularization recurrence on the cornea or conjunctiva. By six months after surgery, his ocular surface had stabilized. CONCLUSIONS: Ocular surface reconstruction with free autologous nasal and oral mucosal transplantation is a useful method on eyes that are injured by chemical burns.

Key Words: Chemical burn;Nasal mucosa;Ocular surface reconstruction;Oral mucosa