Symblepharon

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Sections available in full article Introduction, Presenting signs, Pathogenesis, Etiology, Predisposing factors, Pathophysiology, Diagnosis, Presenting problems, Client history, Clinical signs, Differential diagnosis, Treatment, Standard treatment, Monitoring, Sequelae, Prognosis, Expected response to treatment, Reasons for treatment failure, Sources, Publications, Vetstream contributor(s),
Contributors Dr Dennis E Brooks DVM PhD DipACVO
Dr David Williams MA VetMB PhD CertVOphthal FRCVS

Introduction

  • Adhesion of conjunctival tissue to either another conjunctival surface or to the cornea.
  • Cause : most common as a sequel to feline herpesvirus  Rhinitis  .
  • Also can be congenital but more commonly secondary to severe corneal and conjunctival loss or injury (especially chemical), or iatrogenic following eyelid surgery.
  • Signs : asymptomatic, reduced vision, ocular pain.
  • Diagnosis : history, clinical signs, ophthalmic examination.
  • Treatment : surgical if the condition is severe but re-adhesions complicate the repair.
  • Prognosis : depends on severity.

Diagnosis

Clinical signs

  • Adhesion of conjunctival tissue to another conjunctival surface or to the cornea.

Diagnosis

Differential diagnosis

  • Ankyloblepharon.
  • Conjunctivitis  Conjunctivitis  .
  • Keratitis  Keratitis  .

Sequelae

Prognosis

  • Good/poor, depending on severity.

Expected response to treatment

  • Increased eyelid mobility.
  • Increased vision.

Reasons for treatment failure

  • Recurrence of adhesions.

Sources

Publications

Other sources of information

  • Roper-Hall M J (1989)The eyelids and reconstructive (plastic) surgery.In:Eye Surgery.7th edn. Ed. Stallard. London: Wright, p 64.
  • Petersen-Jones S & Crispin S (2002)BSAVA Manual of Small Animal Ophthalmology. 2nd edn. British Small Animal Veterinary Association. ISBN 0 905214 54 4

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