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Photo Essay
June 2004

Ocular Surface Reconstruction in a Patient With Complete AnkyloblepharonResulting From Stevens-Johnson Syndrome

Arch Ophthalmol. 2004;122(6):934-935. doi:10.1001/archopht.122.6.934

A 44-year-old woman was seen at our hospital 2 years after a severeStevens-Johnson syndrome reaction with light perception OD and counting fingersOS. Examination revealed complete fusion of the eyelids on the right and fusionof the lateral two thirds of the eyelids on the left (Figure 1). Additionally, there was complete ankyloblepharon andobliteration of the fornices in each eye. The left cornea contained markeddeep and superficial neovascularization and stromal scarring. No keratin waspresent. Schirmer testing without anesthetic at 5 minutes resulted in 1 mmof wetting.