Abstract
Purpose: The aim of this study was to describe a novel surgical method for the sutureless placement of amniotic membrane on the bulbar and palpebral conjunctiva in the setting of ocular-involving acute Stevens-Johnson syndrome. Methods: Within 6 days of an acute Stevens-Johnson episode, a 27-year-old male developed early symblepharon, despite aggressive lubrication and topical steroid therapy. He underwent symblepharon lysis and placement of an amniotic membrane wrapped around a symblepharon ring. Results: The patient maintained 20/20 vision in each eye with no recurrent symblepharon formation except for the temporal canthus (which was not covered with amniotic membrane). Conclusions: Symblepharon rings covered in amniotic membrane provide a sutureless way to fixate amniotic membrane to the bulbar and palpebral conjunctiva. This gave very good anatomic and functional outcomes in a patient with acute Stevens-Johnson syndrome. Future research could be directed toward the development of a symblepharon ring that will be able to better protect the far temporal conjunctiva.
Original language | English (US) |
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Pages (from-to) | 1240-1244 |
Number of pages | 5 |
Journal | Cornea |
Volume | 33 |
Issue number | 11 |
DOIs | |
State | Published - 2014 |
Keywords
- Amniotic membrane
- Bulbar conjunctiva
- Lamotrigine
- Palpebral conjunctiva
- Stevens-Johnson syndrome
ASJC Scopus subject areas
- Ophthalmology