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December 1983

Mucous Membrane Grafting for Severe Palpebral Vernal Conjunctivitis

Author Affiliations

From the Department of Ophthalmology, University of Southern California School of Medicine, Los Angeles (Drs Tse, Mandelbaum, Baerveldt, and Fein), and Johannesburg, South Africa (Dr Epstein).; Dr Tse is now with the University of Iowa Hospitals and Clinics, Iowa City. Dr Mandelbaum is now with the Bascom Palmer Eye Institute, Miami.

Arch Ophthalmol. 1983;101(12):1879-1883. doi:10.1001/archopht.1983.01040020881009

• Vernal conjunctivitis usually can be managed medically. In the rare cases that do not respond to medical treatment, surgical intervention has been considered. Four cases of vernal conjunctivitis and one case of probable contact lens-induced giant papillary conjunctivitis were treated with palpebral conjunctival excision and application of a mucous membrane graft. All patients improved symptomatically, with follow-up ranging from 1½ to 14 years. The only complication encountered was recurrence of giant papillae at the conjunctiva-mucous membrane graft junction. Conjunctival excision and mucous membrane grafting is a useful procedure in rare cases of particularly severe vernal conjunctivitis.

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