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10.1097/ICO.0000000000000254

http://scihub22266oqcxt.onion/10.1097/ICO.0000000000000254
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C4188749!4188749 !25222004
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suck abstract from ncbi


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pmid25222004
      Cornea 2014 ; 33 (11 ): 1240-4
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  • Amnion doughnut: a novel method for sutureless fixation of amniotic membrane to the bulbar and palpebral conjunctiva in acute ocular-involving Stevens-Johnson syndrome #MMPMID25222004
  • Pruet CM ; Queen JH ; Kim G
  • Cornea 2014[Nov]; 33 (11 ): 1240-4 PMID25222004 show ga
  • 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.
  • |*Prostheses and Implants [MESH]
  • |*Suture Techniques [MESH]
  • |Acute Disease [MESH]
  • |Adult [MESH]
  • |Amnion/*transplantation [MESH]
  • |Conjunctiva/*surgery [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Stevens-Johnson Syndrome/*surgery [MESH]


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