{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T12:03:59Z","timestamp":1742385839871,"version":"3.37.3"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Prevention and early management of postburn cicatricial ectropion is the best strategy to avoid ocular complications, with poor visual prognosis in extreme cases. A 51-year-old man presented with diminution of vision and absolute inability to close both eyes, 3 months after thermal burn injuries to face, upper limbs, and trunk. His best corrected visual acuity (BCVA) was 1\/60 in BE. He had bilateral extremely severe ectropion involving both upper and lower lids with complete inability to close the eyes. The ensuing exposure keratitis developed secondary infection by Methicillin-resistant Staphylococcus aureus (MRSA) in the right eye and multidrug-resistant Pseudomonas aeruginosa in the left eye. His extreme ectropion prevented infection healing, so its release and full-thickness skin grafting was done when partial resolution of infection was noted. After 3 months, he had moderate residual ectropion in BE; vascularized corneal scar in the inferior part of the right eye (BCVA:20\/40) and adherent leucoma in left eye (BCVA:HM). Prioritizing ectropion surgery in our extreme case for infection control, facilitated corneal healing. Our case highlights the extreme consequences of not taking preventive measures or of managing incident ectropion following thermal injury to the face.<\/jats:p>","DOI":"10.1093\/jbcr\/irab027","type":"journal-article","created":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T01:56:56Z","timestamp":1612403816000},"page":"836-838","source":"Crossref","is-referenced-by-count":2,"title":["Vision and Ocular Surface Salvage in Extreme Postburn Cicatricial Ectropion With Infectious Exposure Keratitis"],"prefix":"10.1093","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0893-9090","authenticated-orcid":false,"given":"Geeta","family":"Behera","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Puducherry, India"},{"name":"Jawaharlal Institute of Post-Graduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suneel","family":"Sangaraju","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Puducherry, India"},{"name":"Jawaharlal Institute of Post-Graduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friji","family":"Meethale Thiruvoth","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nirupama","family":"Kasturi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Puducherry, India"},{"name":"Jawaharlal Institute of Post-Graduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krishna Ramesh","family":"Babu","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Puducherry, India"},{"name":"Jawaharlal Institute of Post-Graduate Medical Education and Research (JIPMER), Puducherry, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,2,2]]},"reference":[{"key":"2021080411295717100_CIT0001","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1097\/IIO.0000000000000185","article-title":"Innovations in treatment of lagophthalmos and exposure keratopathy","volume":"57","author":"Wolkow","year":"2017","journal-title":"Int Ophthalmol Clin"},{"key":"2021080411295717100_CIT0002","first-page":"214","article-title":"Corneal blindness: a global perspective","volume":"79","author":"Whitcher","year":"2001","journal-title":"Bull World Health Organ"},{"key":"2021080411295717100_CIT0003","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/0305-4179(95)00105-0","article-title":"Ophthalmological complications as a manifestation of burn injury","volume":"22","author":"Stern","year":"1996","journal-title":"Burns"},{"key":"2021080411295717100_CIT0004","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1097\/00002341-200205000-00008","article-title":"Ophthalmologic sequelae of thermal burns over ten years at the Alfred Hospital","volume":"18","author":"Spencer","year":"2002","journal-title":"Ophthalmic Plast Reconstr Surg"},{"issue":"3","key":"2021080411295717100_CIT0005","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1016\/j.burns.2009.06.212","article-title":"Epidemiology of hospitalized burn patients in a tertiary care hospital in South India","volume":"36","author":"Ganesamoni","year":"2010","journal-title":"Burns"},{"key":"2021080411295717100_CIT0006","first-page":"2059513116642081","article-title":"A lateral tarsorrhaphy with forehead hitch to pre-empt and treat burns ectropion with a contextual review of burns ectropion management","volume":"2","author":"Lymperopoulos","year":"2016","journal-title":"Scars Burn Heal"},{"key":"2021080411295717100_CIT0007","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/S0305-4179(97)00076-4","article-title":"Cicatricial, postburn ectropion and exposure keratitis","volume":"24","author":"Astori","year":"1998","journal-title":"Burns"},{"issue":"159","key":"2021080411295717100_CIT0008","first-page":"102","article-title":"Severe post thermal burn cicatricial ectropion with corneal ulceration: an illustrative case","volume":"44","author":"Sharma","year":"2005","journal-title":"JNMA J Nepal Med Assoc"},{"key":"2021080411295717100_CIT0009","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1097\/00006534-200003000-00006","article-title":"Early release of third-degree eyelid burns prevents eye injury","volume":"105","author":"Barrow","year":"2000","journal-title":"Plast Reconstr Surg"},{"key":"2021080411295717100_CIT0010","first-page":"2059513116642319","article-title":"Perspectives on the management of eyelid burns","volume":"2","author":"Dheansa","year":"2016","journal-title":"Scars Burn Heal"}],"container-title":["Journal of Burn Care &amp; 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