IGESI Hospital, Jhilimil, New Delhi, India.
10.3126/nepjoph.v14i2.37788.
Nepal J Ophthalmol. 2022 Jul;14(28):155-160. doi: 10.3126/nepjoph.v14i2.37788.
Ankyloblepharon is a partial or complete fusion of eyelids by webs of skin. It may be congenital or acquired. Herein we report a rare case of acquired bilateral ankyloblepharon that developed after purulent membranous conjunctivitis. We will also discuss its unique surgical management which has not been reported previously in the literature.
A 21 year old male presented with complaints of narrowing of eyes for the last six months following an attack of acute purulent membranous conjunctivitis. Surgical excision of the adhesions was done. We used conjunctival autograft to cover the raw area left after excision as a new modality of treatment. The graft was successfully taken up and no recurrence of adhesions was found at 1 year follow up.
Various modalities of treatment for ankyloblepharon have been reported which includes excision of tissue and suturing and amniotic graft. Here we have used conjunctival autograft on the raw area after excision of adhesions and the result obtained was good.
To the best of our knowledge this is the first and a rare case of acquired ankyloblepharon in a young male following a single episode of purulent membranous conjunctivitis. Conjunctival autograft can be successfully used to cover the raw areas left after excision of adhesions.
睑联是由于皮肤的索带导致眼睑部分或完全融合。它可以是先天性的，也可以是后天性的。在此，我们报告一例罕见的后天性双侧睑联，其在脓性膜性结膜炎后发生。我们还将讨论其独特的手术治疗方法，这在以前的文献中尚未报道。
一名 21 岁男性，在急性脓性膜性结膜炎发作后六个月出现眼睛变窄的症状。我们对粘连进行了切除。作为一种新的治疗方法，我们使用结膜自体移植物覆盖切除后留下的裸露区域。移植物被成功接受，在 1 年的随访中没有发现粘连复发。
已经报道了多种治疗睑联的方法，包括组织切除和缝合以及羊膜移植。在这里，我们在粘连切除后的裸露区域使用了结膜自体移植物，获得了良好的效果。
据我们所知，这是首例年轻男性在单次脓性膜性结膜炎后发生的后天性睑联病例。结膜自体移植物可成功用于覆盖粘连切除后留下的裸露区域。
