Symblepharon Management

Although symblepharon development is more common after heat than after chemical injury, it does represent a significant problem, which needs to be addressed:

• In eyes without conjunctival shortening, incision and conjunctivoplasty are sufficient.

• In eyes with shortened fornices, the scars need to be removed and buc-chal mucosa or amniotic membrane transplanted [11]. To prevent rolling up of the donor tissue, two silicone bands must be secured, sandwiching the lid: one over the graft internally and one over the skin externally.

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