The cause of the total symblepharon in this patient, the history, was very vague. Possible causes: lye thrown in patient's eyes over a land dispute or spontaneous perforation of both corneas by ulcus serpens/hypopyon ulcer. In the latter scenario, the patient wouldhave been supine, in a stuporous state with both eyes closed for several days. In that case, the lids would become attached to the cornea and bulbar conjunctiva of each eye.