Chemical alkali burns of the cornea, are the most severe and painful. Treatment requires medical intervention, sometimes surgery, acutely and in the long term, for maximal visual rehabilitation. Common goals of management include: (1) removing the offending agent, (2) promoting ocular surface healing, (3) eliminating inflammation, (4) preventing infection, and (5) controlling intraocular pressure.
Immediate copious irrigation remains the single most important therapy for treating chemical injuries.
The above patient is being treated with Prokera (Bio-Tissue) brand device, which is a sutureless, amniotic membrane that has been proven to be invaluable in the treatment of chemical injuries.