A symblepharon is a partial or complete adhesion of the palpebral conjunctiva of the eyelid to the bulbar conjunctiva of the eyeball. It results either from disease (conjunctival sequelae of trachoma) or trauma. Cicatricial pemphigoid and, in severe cases, rosacea may cause symblepharon. It is rarely congenital. and its treament

1 ocular movements restricted

2 diplopia

3 lagophthalmos

4 cosmetic cause

types.

Anterior, adhesion in Anterior part

Posterior, adhesion in only fornices

total, adhesion involves whole lens

Complications.

prophylaxis, 1 sweeping a glass rod around fornices several times a day

2 therapeutic soft contact lens

curative treatment t, 1 mobilising surrounding cornea, 2 conjunctival or buccal mucosa graft, 3 amniotic membrane transplant

The "Severity of Illness Score for Toxic Epidermal Necrolysis" (SCORTEN) is a scoring system developed to assess the severity of TEN and predict mortality in patients with acute TEN.

One point is given for each of the following factors:

- age >40

- heart rate >120 beats/minute

- carrying diagnosis of cancer

- separation of epidermis on more than ten percent of body surface area (BSA) on day 1.

- Blood Urea Nitrogen >28 mg/dL

- Glucose >252 mg/dL (14 mmol/L)

- Bicarbonate <20mEq/L

Of note, this scoring system is most valuable when used on the first and third day of hospitalization, and it may underestimate mortality in patients with respiratory symptoms.