Conjunctival flap revisited: is it only a temporary solution for difficult corneal diseases?

摘要: Background: The conjunctival flap technique, first described by Gundersen in 1958 has not undergone any major modifications since then, except for some variations depending upon pathology and surgeons’ preferences. Objective: To show the importance of (Gundersen) different corneal diseases where keratoplasty is possible immediately. Methods: Out total 113 non-healing ulcers etiologies, nine patients had rest partial flap. 104 flaps, 31 bipedicle 73 pedicle Diagnoses surgery included chronic Non-healing infective keratitis with without impending perforation(93) (fungal -30, no organisms on culture-42 bacterial- 21), Neurotrophic keratitis(4),Herpes simplex keratitis(9),Bullous keratopathy(2),Infected nonhealing graft(2),presumed perforated keratitis(3)(anterior chamber formed after pad bandage). Results: Eight flaps retracted due to ulcer necrosis out which seven cases got complete healing ulcer. One case be eviscerated panophthalmitis. hundred five cured. Conclusion: Conjunctival urgent most reliable remedy (temporary or even permanent pathologies) nonresolving presumed perforation, neurotrophic keratitis, herpes bullous keratopathy persistent epithelial defects there are immediate facilities transplantation. should familiarized emphasized as a primary complementary surgical solution penetrating lamellar can’t immediately performed lack tissue. DOI: http://dx.doi.org/10.3126/hren.v10i1.6006 HREN 2012; 10(1): 40-45