Abstract

Purpose: To report a case of ankyloblepharon following severe membranous conjunctivitis Methods: A 6-month-old infant with Downs syndrome presented with ankyloblepharon between the upper and lower tarsal conjunctiva with involvement of inferior fornices in both eyes (BE), 2 weeks following membranous conjunctivitis. No adhesions were noted with the underlying cornea/bulbar conjunctiva. Ocular motility appeared to be full, however there was no view of the anterior/posterior segment. Surgical division of adhesions was done followed by application of amniotic membrane on the raw surfaces. Result: On post-op day 1, eye opening was good and anterior segment evaluation showed total congenital cataract in BE. No adhesions were noted at the end of 6 months. Conclusion: Surgery in severe membranous conjunctivitis serves to restore structural integrity. Use of amniotic membrane serves as a good technique to cover raw surfaces and subsequently restore the physiological ocular surface.