SLET technique in neurotrophic ulcer caused by hydroquinone with glycolic acid due to pharmaceutical dispensing error
a case report
DOI:
https://doi.org/10.70313/2718.7446.v16.n01.216Keywords:
SLET, ocular chemical injury, limbar insufficiency, ocular surface reconstruction, pharmacy dispensing errorsAbstract
Purpose: The technique called “Simple Limbal Epithelial Transplantation” (SLET) is useful to treat a severely damaged ocular surface. Our purpose is to present the study of a case where this occurred secondary to inadequate dispensing of a drug by the pharmacy.
Case report: We present the case of an 82-year-old woman who had Herpes zoster ophthalmicus and she suffered from severe ocular surface chemical injury secondary to a medication dispensing error by the pharmacist that gave her hydroquinone with glycolic acid (Neoquin) instead of the appropriate treatment prescribed by her doctor: ganciclovir (Neagel). After two amniotic membrane grafts and subsequent tarsal strip plus retractors reinsertion, the surgical procedure known as SLET was performed for reconstruction of the severely affected ocular surface. Complete epithelialization was observed before two weeks and at one year the ocular surface remains stable.
Conclusion: The SLET technique was effective in treating the ocular surface affected by chemical damage caused by an error in dispensing a remedy by the pharmacy.
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