case_images: PMC7720342_01
case_images: Initial presentation with bilateral temporal tarsorrhaphies.
case_images: 10.1177_2515841420971927-fig1.jpg
case_images: PMC7720342_01_10.1177_2515841420971927-fig1.jpg
case_images: fig1-2515841420971927
case_images: Lagophthalmos of 2 mm was noted in the right eye and 1 mm in the left eye (Figure 1).
case_images: Post-operative day 5, after removal of lateral lid lesions.
case_images: 10.1177_2515841420971927-fig2.jpg
case_images: PMC7720342_01_10.1177_2515841420971927-fig2.jpg
case_images: fig2-2515841420971927
case_images: By postoperative day 5, lateral lid adhesions were noted and released at the slit lamp (Figure 2) after bolster removal.
case_images: Refusion of lateral tarsorrhaphies.
case_images: 10.1177_2515841420971927-fig3.jpg
case_images: PMC7720342_01_10.1177_2515841420971927-fig3.jpg
case_images: fig3-2515841420971927
case_images: Unfortunately, re-fusion occurred again by postoperative month 2 (Figure 3).
case_images: Cyanoacrylate glue to secure amniotic membrane grafts.
case_images: 10.1177_2515841420971927-fig4.jpg
case_images: PMC7720342_01_10.1177_2515841420971927-fig4.jpg
case_images: fig4-2515841420971927
case_images: Intraoperatively, AMGs were draped over the marginal surfaces to prevent re-fusion and bolsters were placed (Figures 4-6).
case_images: Foam bolsters with IV tubing between graft surfaces.
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case_images: PMC7720342_01_10.1177_2515841420971927-fig5.jpg
case_images: fig5-2515841420971927
case_images: Intraoperatively, AMGs were draped over the marginal surfaces to prevent re-fusion and bolsters were placed (Figures 4-6).
case_images: Laying out amniotic membrane graft over external eyelid surfaces.
case_images: 10.1177_2515841420971927-fig6.jpg
case_images: PMC7720342_01_10.1177_2515841420971927-fig6.jpg
case_images: fig6-2515841420971927
case_images: Intraoperatively, AMGs were draped over the marginal surfaces to prevent re-fusion and bolsters were placed (Figures 4-6).
case_images: Post-operative month 9.
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case_images: PMC7720342_01_10.1177_2515841420971927-fig7.jpg
case_images: fig7-2515841420971927
case_images: At postoperative month 9, no re-fusion had occurred (Figure 7) and patient was happy with the cosmetic outcome.