Management of Chronic Blink Related Microtrauma in Stevens-Johnson Syndrome with Oral Mucous Membrane Graft Transplantation: A Novel Approach

Management of Chronic Blink Related Microtrauma in Stevens-Johnson Syndrome with Oral Mucous Membrane Graft Transplantation: A Novel Approach

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A 26-year-old male was referred with sequel of Stevens-Johnson Syndrome (SJS) in form of bilateral severe keratinisation of lid margin and Symbhlepharon involving in particular forniceal region.At roland blues cube amp the time of presentation his visual acuity was 20/120.Indirect ophthalmoscopic examination revealed normal optic nerve head with attached retina.Superficial dissection was done between palpebral and bulbar conjunctiva so as to release symblepharon and further ocular surface reconstruction was carried out with labial Mucous Membrane Graft [MMG].

His best corrected final visual acuity was 20/40 with well accepted graft indicating that this technique definitely improves visual acuity and alleviates patient discomfort by improving ocular surface milwaukee hd800p milieu and hence, possibly further avoids deterioration of ocular surface in SJS.