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September 1991

Symblepharon Prevention-Reply

Author Affiliations

Manhasset, NY
New York, NY

Arch Ophthalmol. 1991;109(9):1196. doi:10.1001/archopht.1991.01080090018010

In Reply.  —Several barrier devices have been used in an effort to prevent conjunctival adhesions after chemical burns or cryotherapy or for ocular pemphigoid.1-4 It was not within the scope or format of our letter to the editor to provide a review of similar devices.There are characteristics that differentiate the barrier plaque from the dome-shaped corneal-scleral contact lens described by Ridley.2 In this case, the barrier plaque was manufactured to mold to half of the bulbar conjunctiva with an opening for the cornea. In contrast to the scleral contact lens, we could examine the anterior and posterior segments of the eye and measure intraocular pressure without disturbing the plaque or its function. We found that the suture-fixed barrier plaque was immobile and relatively comfortable.4 We hope Dr Girard will prospectively evaluate the barrier plaque with his patients so as to appreciate its unique qualities in comparison

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