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Arrows point to symblepharon formation seen inferiorly in the right (A) and left (B) eyes.
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Slit lamp exam showed bilateral eyelid edema, inflammation, and extensive severe symblepharon throughout the inferior, nasal, and temporal regions (Figure 1), causing restriction of extreme lateral gaze and forniceal shortening.
Limbal stem cell deficiency in the right (A) and left (B) eye. Arrows point to neovascularization and conjunctivalization of the cornea. Whorled keratopathy, obscured limbal architecture, subepithelial haze, and conjunctival hyperemia are also present bilaterally.
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Anterior corneal scarring with subepithelial haze, obscured limbal architecture, and poor corneal epithelial cell health with whorled pattern epitheliopathy was seen bilaterally (Figure 2A and B). However, the left eye was more severe, showing more corneal neovascularization and temporal conjunctivalization of cornea (Figure 2B).