symblepharon formation in a 6-month-old infant after epidemic keratoconjunctivitis

epidemic keratoconjunctivits (ekc) caused by certain species d human adenoviruses (ads) is a highly contagious severe disease involving both the conjunctiva and cornea. the hallmark of this disease is subepithelial infiltration of leukocytes, which results in corneal opacities that may persist fo months or even years. in this case study of a 6-month old infant, we report symblepharon formation, a relatively rare outcome of ekc. in this condition, the palpebral conjunctiva adheres tightly to the bulbar conjunctiva of the eyeball. our report  is the first documenting symblepharon formation in an infant.  only two similar cases have been reported to date; therefore, a detailed description is of considerable interest to ophthalmologists, particularly given a previous publication associating symblepharon formation with an adenovirus infection, which is usually not involved in ekc.   development of  symblepharon following ekc is very rare in infants. particularly, if topical treatment cannot be applied due to severe eyelid edema, oral steroid therapy can be administered with pediatric consultation and strict monitoring.