title: Amniotic membrane transplantation for treatment of symblepharon in a patient with recessive dystrophic epidermolysis bullosa.
abstract: OBJECTIVE
  To report the surgical treatment of a case with epidermolysis bullosa.
  
  
  METHODS
  A 12-year-old girl with dystrophic epidermolysis bullosa presented to our clinic with a symblepharon connecting the lateral half of the left upper lid to the upper temporal quadrant of the cornea. The central cornea exhibited diffuse opacity and vascularization.
  
  
  RESULTS
  During surgery, the symblepharon was lysed, and lamellar keratectomy was performed. The operated portion of cornea and palpebral conjunctiva was covered with amniotic membrane to promote healing. Fourteen months later, the operated eyelid margin was normal and the eye was fully mobile. The temporal portion of the corneal stroma was still thinner than normal and showed mild superficial vascularization and opacification.
  
  
  CONCLUSIONS
  We believe that amniotic membrane transplantation is a valuable way to treat symblepharon in cases of epidermolysis bullosa.
authors.affiliation: Department of Ophthalmology, Baskent University Faculty of Medicine, Bahcelievler, Ankara, Turkey. raltanya@yahoo.com
authors.forename: Rana
authors.initials: R
authors.lastname: Altan-Yaycioglu
authors.forename: Yonca A
authors.initials: YA
authors.lastname: Akova
authors.forename: Sibel
authors.initials: S
authors.lastname: Oto
mesh_terms: D000650:Amnion / Q000637:transplantation*; D002648:Child; D016108:Epidermolysis Bullosa Dystrophica / Q000150:complications*; D005141:Eyelid Diseases / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D000267:Tissue Adhesions / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome