Prepuce mucosal graft for forniceal and conjunctival sac reconstruction in surgically intractable symblepharon.
A 12-year-old boy who had severe burns in the right eye from a firecracker injury 2 years previously was referred to our hospital with severe and recurrent symblepharon. The patient had received conjunctival sac reconstruction with amniotic membrane grafts twice at another hospital. A symblepharon lysis and conjunctival sac reconstruction with a mouth mucosal graft was performed. Eight months after surgery, he could not wear a prosthesis due to the recurrence of symblepharon. A prepuce mucosal graft obtained from circumcision was applied for forniceal and conjunctival sac reconstruction. One year postoperatively, the patient showed no recurrence of symblepharon and could comfortably wear a prosthesis. The prepuce is a useful alternative donor tissue in a male patient with no other available donor sites for conjunctival sac reconstruction.
Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Irwon-dong, Gangnam-gu, Seoul 135-710, Korea.
Jung Hye
JH
Lee
Ho-Seok
HS
Sa
Kyung
K
Woo
Yoon-Duck
YD
Kim
D000650:Amnion / Q000637:transplantation; D002648:Child; D002944:Circumcision, Male; D003229:Conjunctival Diseases / Q000209:etiology / Q000601:surgery*; D003316:Corneal Diseases / Q000209:etiology / Q000601:surgery*; D005126:Eye Burns / Q000209:etiology / Q000601:surgery*; D005141:Eyelid Diseases / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation; D009092:Mucous Membrane / Q000637:transplantation; D019651:Plastic Surgery Procedures; D016038:Skin Transplantation