A Combined Approach of Amniotic Membrane and Oral Mucosa Transplantation for Fornix Reconstruction in Severe Symblepharon

Abstract

In severe symblepharon, a combined approach of cicatrix lysis, MMC application, OMT, and sutureless AMT was a safe and effective technique for fornix reconstruction.

Management of Patients With Confirmed and Presumed Mucous Membrane Pemphigoid Undergoing Entropion Repair

“…10 The role of oral or nasal mucous membrane grafts also has been studied, either alone or in combination with amniotic membrane grafts. [20][21][22] The success rate reported for various forms of cicatrizing diseases is high, although the numbers of MMP patients in each series is limited. Another report describes 1 case of MMP using intravenous cyclophosphamide to achieve rapid disease control and to allow early successful fornix reconstruction using amniotic membrane grafts.…”

Correction of Astigmatism Related to Severe Symblepharon Pterygium with Using Three Graft Transplantation Techniques: Case Report

“…kimyasal ve termal yanık sonucu gelişen semblefaronlu gözlerde uygulamış ve forniks rekonstrüksiyo-nunda etkili bir yöntem olarak sunmuşlardır. 8 İleri derecedeki piterjium hastalarında sadece oküler yüzey bozulmakla kalmayıp, aynı zamanda ciddi derecede astigmatizma ve refraktif kusurlar da görülmektedir. Piterjiumun derecesi ile astigmatizma düzeyinde anlamlı bir ilişki bulunmaktadır.…”

Sealing of the Gap between the Conjunctiva and Tenon Capsule to Improve Symblepharon Surgery

“…A variety of surgical approaches have been attempted to achieve these goals, with variable results [6][7][8][9][10]16,19,20 (Table 1). Previously we have reported a high success rate of 85.2% by selectively deploying cicatrix lysis, amniotic membrane transplantation, intraoperative MMC, oral mucosa graft, conjunctival autograft, and anchoring sutures.…”

“…10 Various materials have been evaluated to keep the potentially adhesive surfaces apart after surgery and to reduce recurrences such as symblepharon ring, 11 silicone sheet implant, 12,13 nylon foil-anchored polytetrafluoroetyhlene (Gore-Tex), 14 mitomycin C (MMC), 15,16 bevacizumab, 17 or postoperative application of b-irradiation. 18 Despite all these efforts, the recurrence rates remained highly variable from 6.2% to 40% [6][7][8][9][10]16,19,20 (Table 1).…”