Scleral Melt Ischemia Post Operative Points

                Scleral Ischemia due to Chemical Burn

                Before Surgery                         After surgery

It is advised to see the patient POP 1 day, 1 week, 3 to 4 weeks and thereafter depending on the clinical outcomes.

At POP day 1, instructions such as avoiding dirty water into the eye are given and medications such as Prednisolone acetate 1% (Pred Forte®) four times a day and Ofloxacin 0.3% (Ocuflox®) three times a day are started.

At the 3 to 4 week visit, complete epithelialization over the cryopreserved amnion graft and restoration of the scleral integrity are expected. During this visit, Ocuflox® is stopped and PF is tapered off at a weekly schedule from four times a day. Additionally, if fibrin glue is not used, remove all sutures at this time.

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