Amnion doughnut: A novel method for sutureless fixation of amniotic membrane to the bulbar and palpebral conjunctiva in acute ocular-involving Stevens-Johnson syndrome

Christopher M. Pruet, Joanna H. Queen, Gene Kim

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Purpose: The aim of this study was to describe a novel surgical method for the sutureless placement of amniotic membrane on the bulbar and palpebral conjunctiva in the setting of ocular-involving acute Stevens-Johnson syndrome. Methods: Within 6 days of an acute Stevens-Johnson episode, a 27-year-old male developed early symblepharon, despite aggressive lubrication and topical steroid therapy. He underwent symblepharon lysis and placement of an amniotic membrane wrapped around a symblepharon ring. Results: The patient maintained 20/20 vision in each eye with no recurrent symblepharon formation except for the temporal canthus (which was not covered with amniotic membrane). Conclusions: Symblepharon rings covered in amniotic membrane provide a sutureless way to fixate amniotic membrane to the bulbar and palpebral conjunctiva. This gave very good anatomic and functional outcomes in a patient with acute Stevens-Johnson syndrome. Future research could be directed toward the development of a symblepharon ring that will be able to better protect the far temporal conjunctiva.

Original languageEnglish (US)
Pages (from-to)1240-1244
Number of pages5
JournalCornea
Volume33
Issue number11
DOIs
StatePublished - 2014

Keywords

  • Amniotic membrane
  • Bulbar conjunctiva
  • Lamotrigine
  • Palpebral conjunctiva
  • Stevens-Johnson syndrome

ASJC Scopus subject areas

  • Ophthalmology

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