Chief & Presenting Author: Prof. Dr. Shalini Kumari

Co Author(s): Prof. Dr. Shalini Kumari

Abstract

A 66-year-old male patient presented with corneal scarring in both eyes with symblepharon of left lower lid, and ocular motility restriction. Symblepharon was graded as IV C with inflammatory activity 1+. A 4-0 black silk suture was placed at lid margin, & cicatrix lysis was done. Subconjunctival fibrovascular cicatrix was dissected & amputated at base without removing overlying conjunctival epithelium, leading to recession of incised conjunctiva to deep fornix. A single sheet of AM was attached to bare sclera, to fornix, and then reflected up to reach the edge of eyelid margin, with the stromal side facing down, with interrupted 6-0 vicryl sutures. Symblepharon ring should have been inserted. Reconstruction of fornix was done with restoration of ocular motility. However, return of symblepharon in the area of surgery was seen after 2 weeks. Conclusion: Cicatrix lysis & AMT should have been supplemented with Mitomycin C to prevent recurrence.