title: Mucous membrane grafting for the post-Steven-Johnson syndrome symblepharon: a case report.
abstract: 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.
authors.affiliation: Sri Sankaradeva Nethralaya, Beltola, Guwahati - 781 028, Assam, India.
authors.forename: Jayanta Kumar
authors.initials: JK
authors.lastname: Das
authors.forename: Jnanankar
authors.initials: J
authors.lastname: Medhi
authors.forename: Ranjay
authors.initials: R
authors.lastname: Chakravarty
authors.forename: Ronel
authors.initials: R
authors.lastname: Soibam
mesh_terms: D000293:Adolescent; D003229:Conjunctival Diseases / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D009092:Mucous Membrane / Q000637:transplantation*; D013262:Stevens-Johnson Syndrome / Q000150:complications*; D000267:Tissue Adhesions / Q000209:etiology* / Q000601:surgery*