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Image of Symblepharon

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H11.239 – Symblepharon, unspecified eye


By definition, a symblepharon is an adhesion between the eyelid and the eyeball. It can involve just one lid or both. This adhesion of subepithelial scarring can lead to other lid complications such as aberrant lash growth and entropion. Symblepharon can develop as a complication of several diseases and/or etiologies that include:
  • Severe dry eye syndrome
  • Stevens-Johnson syndrome
  • Cicatricial pemphigoid
  • Chemical injury
  • Erythema multiforme
  • Bullous pemphigus
  • Conjunctival infections associated with conjunctival scaring such as chlamydial, vernal, atopic, and bacterial conjunctivitis
  • Epidemic keratoconjunctivitis
  • Burns
  • Toxic epidermal necrosis
Thus, presentation may be dependent upon the etiology. For most patients, the common symptoms include:
  • Redness
  • Tearing
  • Burning sensation
  • Foreign body sensation
  • Photophobia
  • Lid heaviness
  • Blepharospasm
Finally, patients can also present with ocular motility disorders, diplopia, entropion, and inadequate lid closure.

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