Symblepharon of severe degree, because of extensive destruction of the conjunctiva, has long been a bête noir for the ophthalmic surgeon. I do not intend to consider in this paper those simpler cases in which there is a limited destruction of the conjunctiva and slight band-like adhesions between the eyelid and the ball, for these can easily be relieved by the exercise of some ingenuity on the part of the surgeon and the transplantation of flaps of conjunctiva by one of the many methods that have been devised by different operators. I propose, however, to consider those severe cases in which, from injury, burn or ulceration, there has been extensive destruction of the conjunctiva, and a great part or the whole of one or both lids has become firmly adherent to the eyeball.
My subject also includes those more difficult cases of atrophy of the conjunctiva, sometimes almost total, resulting
WILDER WH. PARAFFIN PLATES AS AN AID IN OPERATIONS FOR EXTENSIVE SYMBLEPHARON: AND FOR THE RESTORATION OF CUL-DE-SACS FOR PROTHESIS. JAMA. 1906;XLVII(8):570–574. doi:10.1001/jama.1906.25210080022002e
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