
Ocular Surface Reconstruction in a Patient With Complete Ankyloblepharon Resulting From Stevens-Johnson Syndrome
Michael L. Nordlund, MD, PhD;
Edward J. Holland, MD;
Robert C. Kersten, MD
Cincinnati, Ohio
Arch Ophthalmol. 2004;122:934-935.
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A 44-year-old woman was seen at our hospital 2 years after a severe Stevens-Johnson syndrome reaction with light perception OD and counting fingers OS. Examination revealed complete fusion of the eyelids on the right and fusion of the lateral two thirds of the eyelids on the left (Figure 1). Additionally, there was complete ankyloblepharon and obliteration of the fornices in each eye. The left cornea contained marked deep and superficial neovascularization and stromal scarring. No keratin was present. Schirmer testing without anesthetic at 5 minutes resulted in 1 mm of wetting.
Figure appears in full text version.
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Figure 1. Patient's left eye at the time of presentation. A severe Stevens-Johnson syndrome reaction resulted in severe corneal scarring and neovascularization. Additionally, there was complete obliteration of the fornices and fusion of the globe to the eyelids.
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