Treatment of Total Symblepharon Using Vaginal Mucosa.

Lim, Kyung Jik; Kim, Yoon Duck

Case Report

Journal of the Korean Ophthalmological Society 1993;34(5):452-456.
Published online May 1, 1993.

Treatment of Total Symblepharon Using Vaginal Mucosa.

Kyung Jik Lim, Yoon Duck Kim

Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.

질점막 ( Vaginal mucosa ) 를 이용한 검구유착분리

임경직(Kyung Jik Lim),김윤덕(Yoon Duck Kim)

Abstract

A 51-year-old female patient who has had pemphigoid since 110 years ago visited Seoul National University Hospital with the chief complaint of ocular pain and bilateral cilia touching the cornea. Her visual acuity was light sense in the right eye and finger count/1Ocm in the left eye. She had bilateral severe trichiasis, entropion, corneal opacity and total symblepharon. Bilateral symblepharon lysis and mucous membrane graft with buccal mucosa was done Left side was successful, but in the right side, there was hyperplastic proliferation of the grafted buccal mucosa and recurrence of the symblepharon. We performed symblepharon lysis and mucous membrane graft using vaginal mucosa in the right eye. Grafted vaginal mucosa looked healthy and no recurrence of symblepharon ocurred during the follow-up period of 1 year. We would like to suggest that if there is no available oral mucosa, mucous membrane graft can be done with vaginal mucosa in female patient.

Key Words: Symblepharon;Vaginal mucosa;Mucous membrane graft