Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case report
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 exa...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2011-01-01
|
| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=3;spage=231;epage=233;aulast=Das |
| _version_ | 1819156482926575616 |
|---|---|
| author | Jayanta Kumar Das Jnanankar Medhi Ranjay Chakravarty Ronel Soibam |
| author_facet | Jayanta Kumar Das Jnanankar Medhi Ranjay Chakravarty Ronel Soibam |
| author_sort | Jayanta Kumar Das |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-22T15:53:35Z |
| format | Article |
| id | doaj.art-f65f3049387646778cf915375f75741c |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-22T15:53:35Z |
| publishDate | 2011-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-f65f3049387646778cf915375f75741c2022-12-21T18:20:51ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892011-01-0159323123310.4103/0301-4738.81039Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case reportJayanta Kumar DasJnanankar MedhiRanjay ChakravartyRonel SoibamAn 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.http://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=3;spage=231;epage=233;aulast=DasAhmed glaucoma valvehypotonypost-penetrating-keratoplasty glaucomatube extrusionscleral patchRanibizumabbevacizumabchoroidal neovascular membraneage-related macular degenerationintravitreal injectioncentral macular thicknessbest corrected visual acuityIntravitreal injectionmethotrexatepharmacokineticsContrast sensitivitydiabetesglarepupil cycle timeAnemiadiabetic retinopathymicroalbuminuriaseverityObjective Structured Clinical ExaminationophthalmologyundergraduateAnisometropiaanisometropic amblyopiafusionstereopsisTraumatic cataractBirmingham Eye Trauma Terminology SystemIndiacataract surgeryChildren with learning disabilityocular disordersrefractive errorsspecial needsCharles Bonnet syndromedementiahallucinationspregabalinOcular surface reconstructionSteven-Johnson syndromesuperficial keratectomy |
| spellingShingle | Jayanta Kumar Das Jnanankar Medhi Ranjay Chakravarty Ronel Soibam Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case report Indian Journal of Ophthalmology Ahmed glaucoma valve hypotony post-penetrating-keratoplasty glaucoma tube extrusion scleral patch Ranibizumab bevacizumab choroidal neovascular membrane age-related macular degeneration intravitreal injection central macular thickness best corrected visual acuity Intravitreal injection methotrexate pharmacokinetics Contrast sensitivity diabetes glare pupil cycle time Anemia diabetic retinopathy microalbuminuria severity Objective Structured Clinical Examination ophthalmology undergraduate Anisometropia anisometropic amblyopia fusion stereopsis Traumatic cataract Birmingham Eye Trauma Terminology System India cataract surgery Children with learning disability ocular disorders refractive errors special needs Charles Bonnet syndrome dementia hallucinations pregabalin Ocular surface reconstruction Steven-Johnson syndrome superficial keratectomy |
| title | Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case report |
| title_full | Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case report |
| title_fullStr | Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case report |
| title_full_unstemmed | Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case report |
| title_short | Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: A case report |
| title_sort | mucous membrane grafting for the post steven johnson syndrome symblepharon a case report |
| topic | Ahmed glaucoma valve hypotony post-penetrating-keratoplasty glaucoma tube extrusion scleral patch Ranibizumab bevacizumab choroidal neovascular membrane age-related macular degeneration intravitreal injection central macular thickness best corrected visual acuity Intravitreal injection methotrexate pharmacokinetics Contrast sensitivity diabetes glare pupil cycle time Anemia diabetic retinopathy microalbuminuria severity Objective Structured Clinical Examination ophthalmology undergraduate Anisometropia anisometropic amblyopia fusion stereopsis Traumatic cataract Birmingham Eye Trauma Terminology System India cataract surgery Children with learning disability ocular disorders refractive errors special needs Charles Bonnet syndrome dementia hallucinations pregabalin Ocular surface reconstruction Steven-Johnson syndrome superficial keratectomy |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2011;volume=59;issue=3;spage=231;epage=233;aulast=Das |
| work_keys_str_mv | AT jayantakumardas mucousmembranegraftingforthepoststevenjohnsonsyndromesymblepharonacasereport AT jnanankarmedhi mucousmembranegraftingforthepoststevenjohnsonsyndromesymblepharonacasereport AT ranjaychakravarty mucousmembranegraftingforthepoststevenjohnsonsyndromesymblepharonacasereport AT ronelsoibam mucousmembranegraftingforthepoststevenjohnsonsyndromesymblepharonacasereport |