a large OSSN. The HAM was first glued to the surface, followed by placement of the symblepharon ring. The edges of the HAM were reflected back over the ring and on to the ocular surface. These edges were sutured to the superficial cornea to secure the complex in place. When compared with a ProKera device, the HAM-ring complex covers more of the ocular surface and is less costly (US $110 for a 35 mm  35-mm sheet of HAM and a symblepharon ring). The disadvantage of using traditional HAM grafts in ocular surface reconstruction is the increased surgical time secondary to suturing, which also poses certain risks, including bleeding, conjunctival edema, and conjunctival epithelial defects. These complications are not seen in patients who receive ProKera.We propose a new technique for ocular surface reconstruction involving HAM-symblepharon ring complex. Although the patient's recovery and visual acuity were suboptimal, this was likely attributed to his lack of compliance with postoperative medications. This technique is economically advantageous, and may be a suitable alternative to Prokera with the appropriate clinical followups and medication compliance.
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