Multiple conjunctival autografts from the contralateral eye for management of recurrent symblepharon in eyes with unilateral chemical burn

BMJ Case Rep. 2024 May 15;17(5):e256344. doi: 10.1136/bcr-2023-256344.

Abstract

We present two cases which underwent complex ocular surface reconstruction to achieve a stable ocular surface. Conjunctival autograft (CAG) procedure was required more than once, in addition to simple limbal epithelial transplantation to address extensive symblepharon in the eyes with total unilateral limbal stem cell deficiency secondary to acid ocular burns. These cases demonstrate that multiple CAGs may be harvested from the contralateral unaffected eye to correct recurrent symblepharon without any donor site complications if the correct surgical technique is adopted.

Keywords: Anterior chamber; Eye.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Autografts*
  • Burns, Chemical* / surgery
  • Conjunctiva* / transplantation
  • Conjunctival Diseases / surgery
  • Eye Burns* / chemically induced
  • Eye Burns* / surgery
  • Female
  • Humans
  • Limbus Corneae / surgery
  • Male
  • Recurrence
  • Transplantation, Autologous