• Courtesy of Eric P. Purdy, MD.
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    Patient with severe bilateral MMP, who required prolonged treatment with systemic prednisone and azathioprine, followed by intravenous immune globulin and rituximab, to stabilize the inflammatory disease, before ocular surface and fornix reconstruction could be considered. These images demonstrate extensive scarring and symblephara that involved the superior (a) and inferior (b) fornices and eyelids.