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Pesticide exposure presenting as acute conjunctival necrosis

Acute direct ocular exposure to insecticides is rare and can present as a chemical injury. We present a case of a 21-year-old male patient who had an accidental exposure to chlorpyrifos and propoxur while spraying it as an insecticide. He presented with severe conjunctival ischemia and necrosis involving the inferior fornix. He underwent amniotic membrane transplantation to preserve the ocular surface. The case report highlights the chemical effects of organophosphorus compounds on the ocular surface.