Symblepharon Following the Transconjunctival Approach: A Report of Three Cases

Abstract The transconjunctival approach has been used to access the infraorbital rim and the orbital floor for treating zygomaticomaxillary complex (ZMC) fracture with or without the orbital floor involvement. Many studies have shown that this approach has a low rate of postoperative complications with entropion being one of the more commonly reported complications. This is in contrast to symblepharon development which is rarely observed following the transconjunctival approach. Symblepharon can be one of the most challenging ocular problems and may be associated with restriction of extraocular movement, inadequate blinking, entropion, and dry eye. Hereby, we report three cases of symblepharon development postoperatively within 3 months after performing orbital floor reconstruction and open reduction internal fixation of ZMC fracture through the transconjunctival approach.