Symblepharon.


The Quiz Answer is... Symblepharon!


•Adhesion between the bulbar and palpebral conjunctiva.

•Loss of epithelial cells from bulbar and palpebral conjunctiva leads to this abnormal adhesion leading to cicatrization and fibrosis.

•It can encroach on the limbus and grow over the cornea causing vision loss

•Can decrease eye movement, cause diplopia, and prevent the normal functioning of the eyelids through mechanical forces.


ETIOLOGY:

• Steven-Johnson Syndrome.

• Ocular cicatricial pemphigoid.

• Chemical injury/Thermal burns.

• Erythema multiforme.

• Any conjunctival infections complicated with conjunctival scaring- Chlamydial infections, Epidemic Keratoconjunctivitis


TREATMENT:


MEDICAL:

-Steroids and immunosuppressive drugs (Azathioprine, Cyclophosphamide).

-Preservative-free artificial tears.


SURGICAL:

-Surgical release with mucous membrane or amniotic membrane grafting or conjunctival autografting.

Limbal stem cell transplantation.


ANKYLOBLEPHARON: When the edges of the upper and lower eyelids are fused together.


www.ophthalmobytes.com


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