DR. PARUL CHAWLA GUPTA

DR.JAGAT RAM, DR.PANKAJ GUPTA, DR.RANJAN KUMAR BEHERA

Abstract

Purpose: To discuss hurdles experienced by beginners in Mucus Membrane Grafting (MMG)

Methods: 2 patients post Stevens-Johnson Syndrome (SJS) aged 58 and 31 years presented with pain, foreign body sensation and poor eye-opening bilaterally. Differential fluoresceine staining suggested lid margin keratinisation induced keratopathy. Bilateral MMG was performed in both patients.Results: We experienced excessive bleeding of the recipient bed, difficult dissection of the tarsal conjunctiva, a central corneal epithelial defect and button-holing of the graft which were managed intraoperatively. Postoperatively, both patients were given topical antibiotics and lubricants. They had symptomatic improvement in their ocular symptoms and better eye-opening. Conclusion: Mucus membrane grafting can be a ‘Game Changer’ by modifying the course of chronic SJS cases. It is essential to understand the steps to ensure a good clinical outcome and prevent snowballing towards keratoprosthesis in these eyes.