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Answers: 2007 series -  January 2, 2007 Lecture 52 of 52  NEXT»

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This 43-year-old man suffered acid burns to the right eyelids two years ago.  Since that time the lids have been sealed, severely obstructing vision and compromising the man’s appearance.

1.  This condition is called:    
 

d -- symblepharon

This condition is called symblepharon meaning “sticking together” or fusion of the lids.  Ptosis is a drooping of the lid, phimosis is a foreshortening of the palpebral fissure, and euryblepharon is an out-turning of the lateral part of the lower lid margin.


2.  Treatment could consist of:  
 

b -- separation of the lids with placement of a large mucous membrane graft

The best treatment of this condition is surgical separation of the lid margins followed by a large mucous membrane graft taken from the mouth.


3.  Results of treatment will likely be: 
 

a -- complicated by the likely need for one or more procedures

The treatment outcomes for this type of surgical repair are not always or even often successful at the first surgery and frequently require re-operation with re-grafting on one or more occasion before successful separation of the lids is accomplished.


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