Indian Journal of Ophthalmology

BRIEF COMMUNICATION
Year
: 2011  |  Volume : 59  |  Issue : 3  |  Page : 231--233

Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case report


Jayanta Kumar Das, Jnanankar Medhi, Ranjay Chakravarty, Ronel Soibam, Jayanta Kumar Das, Jnanankar Medhi, Ranjay Chakravarty, Ronel Soibam 
 Sri Sankaradeva Nethralaya, Beltola, Guwahati - 781 028, Assam, India

Correspondence Address:
Jayanta Kumar Das
Senior Consultant, Sri Sankaradeva Nethralaya, Beltola, Guwahati - 781 028, Assam
India
Jayanta Kumar Das
Senior Consultant, Sri Sankaradeva Nethralaya, Beltola, Guwahati - 781 028, Assam
India

An 18-year-old woman was referred with late sequelae of chloroquine-induced Steven-Johnson syndrome. At the time of presentation, the symblepharon was involving the upper lids to almost the whole of the cornea, and part of the lower bulbar conjunctiva with the lower lid bilaterally. Other ocular examinations were not possible due to the symblepharon. B-scan ultrasonography revealed acoustically clear vitreous, normal chorioretinal thickness, and normal optic nerve head, with an attached retina. Conjunctivo-corneal adhesion released by superficial lamellar dissection of the cornea. Ocular surface reconstruction was carried out with a buccal mucous membrane. A bandage contact lens was placed over the cornea followed by the symblepharon ring to prevent further adhesion. The mucosal graft was well taken up along with corneal re-epithelization. Best corrected visual acuity of 20/120 in both sides after 1 month and 20/80 after 3 months was achieved and maintained till the 2.5-year follow-up.


How to cite this article:
Das JK, Medhi J, Chakravarty R, Soibam R, Das JK, Medhi J, Chakravarty R, Soibam R. Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case report.Indian J Ophthalmol 2011;59:231-233


How to cite this URL:
Das JK, Medhi J, Chakravarty R, Soibam R, Das JK, Medhi J, Chakravarty R, Soibam R. Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case report. Indian J Ophthalmol [serial online] 2011 [cited 2024 Mar 29 ];59:231-233
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2011;volume=59;issue=3;spage=231;epage=233;aulast=Das;type=0