“…39 The most common of these are summarized in Table III. Whereas some may be relatively short-lived (such as conjunctival injection; red, watering eyes; vesicles and bullae; and corneal erosions) and are associated with acute inflammation or injury to the surface of the eye, others (ie, corneal scarring, pannus formation, symblepharons, ankyloblepharons, and ectropions) may be chronic and of variable clinical severity (Figs 1-3).…”
“…39 The most common of these are summarized in Table III. Whereas some may be relatively short-lived (such as conjunctival injection; red, watering eyes; vesicles and bullae; and corneal erosions) and are associated with acute inflammation or injury to the surface of the eye, others (ie, corneal scarring, pannus formation, symblepharons, ankyloblepharons, and ectropions) may be chronic and of variable clinical severity (Figs 1-3).…”
“…As such, there are ultrastructural similarities in the interface between the basal epithelium and underlying connective tissue in both the skin and the cornea (29). Since the first documentation of ophthalmic involvement in EB in 1904, a number of case studies have reported the ocular manifestations of EB (30).…”
Section: What Is Known About Ophthalmological Complications In Epidersupporting
Epidermolysis bullosa (EB) is a rare inherited group of mechanobullous genodermatoses. It is known to be one of the most devastating chronic conditions due to its frequent and detrimental cutaneous and extracutaneous complications. Current treatment is aimed at optimizing the quality-of-life and effectively managing the EB associated complications. In order to provide the best possible care, clinicians need to recognize and appreciate that different subtypes of EB carry different associated co-morbidities. The complexity of medical care in these patients warrants a regular review by a multidisciplinary team experienced in EB. Optimal collaboration and coordination between professionals in the delivery of integrated care is essential for the provision of high-quality care in patients with EB.
Öz AbstractEpidermolysis bullosa (EB) mekano-büllöz genodermatozların nadir kalıtsal bir grubudur. Sık ve zarar verici kutanöz ve ekstra-kutanöz komplikasyonlarından dolayı en harap edici kronik durumlardan biri olarak bilinir. Mevcut tedavi yaşam kalitesini optimize etmeyi ve EB ile ilişkili komplikasyonları etkili bir şekilde yönetmeyi amaçlar. Olası en iyi tedavinin sağlanabilmesi için klinisyenlerin EB'nin farklı alt tiplerinin farklı komorbiditeler taşıyabileceğinin farkında olması ve takdir etmesi gerekmektedir. Bu hastalarda medikal tedavinin karmaşıklığı, EB alanında tecrübeli bir multidispliner bir ekip tarafından konunun düzenli olarak değerlendirilmesi gereksinimini haklı kılmaktadır. Entegre bakımda profesyoneller arasında optimal düzeyde bir işbirliği ve koordinasyon EB'li hastalarda yüksek kaliteli bakımın sağlanmasında oldukça gereklidir.
“…[1][2][3][4] Ocular involvement of variable severity has been reported in all types of epidermolysis bullosa, with corneal erosions/blisters, corneal scarring, symblepharon, eyelid and conjunctival blistering, blepharitis, ectropion, and lacrimal duct obstruction representing the most common manifestations. [5][6][7][8] We present a patient who experienced an extensive corneal epithelial blister during phacoemulsification cataract surgery.…”
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