Dr. Mariya Doctor

, Dr. SWAPNA SHANBHAG

Abstract

We present a case of a 13-year male with bilateral severe limbal stem cell deficiency due to alkali burn, who had phthisis in the left eye due to chronic retinal detachment post keratoprosthesis surgery performed eight years ago. He presented to us for surgery to restore his vision in the right eye where he had a superior symblepharon up to the central cornea. We planned a symblepharon release followed by mucous membrane grafting (MMG) to fill the area of the defect superiorly, followed by a keratoprosthesis surgery three months later. During the surgery, the symblepharon was released from the cornea, and in the area of the bare sclera which was noted superiorly, we performed a MMG with the graft harvested from the labial mucosa, followed by a subsequent keratoprosthesis surgery. The patient had a best corrected visual acuity of 20/60 at two years follow-up post keratoprosthesis without recurrence of symblepharon, and without requiring further surgical interventions.