A modified technique for bedside amniotic membrane application to the eyelid margins for Stevens-Johnson syndromeAmniotic membrane (AM), the innermost layer of the placenta, is commonly used as a graft and dressing to promote healing and ocular surface reconstruction. It has been used successfully in the treatment of various ocular surface conditions, such as Stevens-Johnson syndrome (SJS) and toxic epidermolysis necrolysis (TEN) to protect the ocular surface.1,2 Amniotic membrane application typically takes place in the operating room, unless the patient is too unstable for transport. The technique described by Shammas et al.
Scleral thinning after I-BRITE procedure treated with amniotic membrane graftA 39-year-old female was referred for punctal plug insertion for dry eye complaints and a nonhealing conjunctival defect in both eyes. She had a history of right eye pterygium and left eye pingecula removal with the I-BRITE (Boxer Wachler Vision Institute, Beverly Hills, Calif.) procedure 2 years previously. The I-BRITE procedure is advertized for the treatment of conjunctiva hyperemia, pterygium, and pinguecula.1 Postoperatively, she recounted using, in both eyes, topical antibiotics 4 times daily, preservative-free artificial tears, testosterone 10% ointment to the eyelids, mitomycin C (MMC) drops of unknown concentration 4 times daily, and a tapering course of topical steroids.
Pagetoid spread of sebaceous cell carcinoma to the corneaSebaceous cell carcinoma (SebCC) is a malignancy that most commonly presents in the eyelid.1 Pagetoid spread to the conjunctiva has been well documented,1-3 but spread to the cornea is less common.4 We report a 64-year-old female who was diagnosed with pagetoid spread of SebCC to her right cornea. She initially presented with a 3-year history of red eyes and trichiasis. After multiple epilations, she was referred to the oculoplastics service for electrolysis. On examination, her visual acuity was 20/70 in the right eye and counting fingers in the left eye (the vision was limited due to a central stromal scar and a dense cataract).