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- Tian Li, Ying Shao, Quan Lin, and Duo Zhang.
- Department of Plastic and Reconstructive Surgery, The First Hospital of Jilin University, Changchun, Jilin, China.
- Medicine (Baltimore). 2018 Aug 1; 97 (35): e12168.
RationaleRecurrent symblepharon is very difficult to cure. Techniques applied in symblepharon with no recurrence or low recurrent rate is rare and vital.Patients ConcernsA 12-year-old boy with severe symblepharon caused by firework underwent 2 surgeries for treating severe symblepharon. But both surgeries were failed and symblepharon recurred.DiagnosisHe was diagnosed with conjunctival sac defect and recurrent symblepharon.InterventionThe patient received reconstruction with mucosal grafts and a reversed split-thickness skin graft, and suture upper and lower eyelids for 10 days.OutcomeRecurrent symblepharon was cured and the conjunctival sac was reconstructed.LessonsReversed split-thickness skin graft is much less soft compared to other materials to treat symblepharon and can be used to reconstruct conjunctival sac with no or little recurrence.
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