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Gore-tex a magic sheet for symblepharon prevention!

Anitha Venugopal¹, Meenakshi Ravindran²

¹Cornea, Ocular Surface, Trauma and Refractive Services, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India.

Indian Journal of Ophthalmology

|October 3, 2022

Summary

This summary is machine-generated.

This study presents a surgical technique for severe symblepharon using Gore-tex to prevent recurrence after chemical injury. The procedure involves lysis, grafts, and Gore-tex placement, showing initial success in stabilizing the ocular surface.

Keywords:

Gore-Tex Prevention of growth Symblepharon recurrence

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Last Updated: Aug 26, 2025

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Area of Science:

Ophthalmology
Regenerative Medicine
Surgical Techniques

Background:

Symblepharon, a complication of severe chemical eye injuries, presents a high risk of recurrence, particularly in younger patients, due to complex conjunctival wound healing.
Surgical intervention for severe symblepharon often involves complex procedures to restore ocular surface integrity and fornical depth.

Observation:

A case report details the surgical management of a 28-year-old male with Grade 4 symblepharon and total fornix obliteration following a chemical injury.
The surgical procedure included symblepharon lysis, amniotic membrane grafting, conjunctival allograft, and the innovative use of Gore-tex in the fornices.

Findings:

The surgical video demonstrates detailed steps, including peritomy, dissection, placement of cryopreserved amniotic membrane graft (AMG), Gore-tex insertion, and limbal conjunctival autograft (CLAG).
Postoperatively, at one month, the patient exhibited a stable ocular surface with an intact limbal conjunctival graft, though mild superior fibrosis recurrence was noted.

Implications:

The use of Gore-tex in conjunction with grafts appears promising for preventing symblepharon recurrence and maintaining ocular surface stability.
This surgical approach offers a potential strategy for managing severe symblepharon, improving outcomes in patients with challenging conjunctival reconstruction needs.