The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
Photo by Professor Chua
year-old fisherman developed bilateral recurrent conjunctivitis two years
ago. He was on no medications. Examination revealed bilateral symblepharon,
more obvious in the right than the left eye, and upper and lower eyelids
entropions. There were obliterations of the caruncles and all the eyelids
showed subtarsal fibrosis. However, there was no lesions on the buccal
mucosa. The entropions were successfully treated with anterior lamellar
repositioning and Weiss's procedure. The conjunctivitis was controlled with
topical steroids given twice daily. The following pictures were taken when
the eyes were relatively quiet.