2020–2021 BCSC Basic and Clinical Science Course™
11 Lens and Cataract
Chapter 12: Preparing for Cataract Surgery in Special Situations
External Ocular Abnormalities
Mucous Membrane Pemphigoid
Eyes with mucous membrane pemphigoid are severely dry due to scarring of the meibomian glands and accessory lacrimal glands that results in occlusion of the lacrimal gland orifices. Corneal haze or opacification impairs the surgeon’s view into the anterior segment intraoperatively. Extensive symblepharon or ankyloblepharon may limit positioning and exposure of the eye during surgery. The eyelid speculum should be placed carefully to avoid traction and pressure on the globe.
Excerpted from BCSC 2020-2021 series: Section 11 - Lens and Cataract. For more information and to purchase the entire series, please visit https://www.aao.org/bcsc.