Background and objectives: Suture or glue has been used to secure the conjunctival auto graft after excision of the pterygium. Recently, auto grafting using patient's own blood as a bioadhesive to secure the graft in position has been described by several authors. Therefore, the present study was undertaken to determine the outcome of excision of pterygium and sutureless conjunctival auto graft using patients' own blood as a bioadhesive.

Background and objectives: Recurrent pterygium is an important ocular problem in our country. There are different modalities of treatment for recurrent pterygium. The present study was undertaken to determine the effect of intraoperative mitomycin C along with conjunctival auto graft to prevent recurrence of pterygium.

Ibrahim Med. Coll. J. 2015; 9(1): 34-36

Stevens-Johnson syndrome(SJS) causes various ocular complications in which symblepharon and ankyloblepharon are very common. Ankyloblepharon is potentially blinding, which can be prevented by adequate medical measurement. Here we present such a case. Case ReportA 16-year-old girl presented with complete obscuration of vision and fusion of eye lids of both eyes for the last six months. About sixmonths back she developed diffuse rash in her face and body after taking an analgesic. The rash spread throughout allover the body including limbs, trunk and face. The eyes and oral cavity were also involved. She was diagnosed as a case of SJS in a tertiary hospital and was treated conservatively with systemic antibiotic and steroids. Ophthalmic drops were prescribed, but not instilled properly and no separation of bulbar and palpebral conjunctiva was done. The eyes remained closed. After a few weeks, she got well but the eyelids remained fused with each other and the patient became blind.At our care, on ocular examination, both eyes were found to have complete ankyloblepharon having no vision in both eyes. Behind the fused eyelids the movement of eyeballs were sufficient. The contour of the eyeballs were also normal (Figure 1). General examination reveals diffuse skin pigmentation in the face and body (Figure 2).The patient was diagnosed as a case of bilateral ankylobleaphron due to SJS.The patient underwent lid reconstruction surgery (separation of fused eyelids, separation of adhesion between bulberand palpebral conjunctiva) and contact shield was placed on both eyes.On the first postoperative day, the patient gained formed vision (right eye 6/60 and left eye 6/24).Postoperatively she was treated with topical antibiotic, steroid and artificial tear.Gradually the vision of the patent improved but ocular surface was dry.Cornea of both eyes werevascularised from the periphery to midperiphery.After one month, the patent gained vision up to 6/12 in both eyes (Figure 3).Now the patient is getting topical artificial tears frequently and is being observed in outpatient department regularly at an interval of three months. Case