JAN 14, 2014
Annual Meeting 2013
Pannus dissection is the most crucial step of surgery in end-stage ocular surface disorders with limbal stem cell deficiency such as chemical and thermal injury, Steven-Johnson syndrome, and ocular cicatricial pemphigoid. This video demonstrates the steps of pannus dissection including symblepharon release, finding the plane of pannus, removal of residual chemical or foreign material, and assessing corneal thickness to prevent intraoperative perforation. After achieving a perfect dissection, a human amniotic membrane transplant or a direct, simple limbal epithelial transplant can be performed.