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[Conjunctival flaps in corneal perforations]
Izaguirre Roncal LB1, Gonzalvo Ibáñez FJ, Pérez Oliván S
1Servicio de Oftalmología, Hospital Miguel Servet, Zaragoza, España.
Archivos De La Sociedad Espanola De Oftalmologia
|January 11, 2001
Summary
Conjunctival flaps offer an effective emergency surgical treatment for corneal perforations when medical options fail. This study highlights their underutilization in managing severe corneal pathology.
Area of Science:
- Ophthalmology
- Surgical Procedures
- Corneal Diseases
Context:
- Corneal perforations represent a critical ophthalmic emergency.
- Effective surgical interventions are crucial for managing severe corneal pathology.
- Conjunctival flaps have been utilized for corneal reconstruction.
Purpose:
- To evaluate the efficacy of conjunctival flaps as an emergency surgical treatment for corneal perforations.
- To assess the outcomes of total and partial conjunctival flaps in managing diverse corneal conditions.
Summary:
- A retrospective review of 18 patients (15 total flaps, 3 partial flaps) treated between 1980-1998.
- Indications included chronic ulcerative keratitis, bullous keratopathy, central ulcers, chemical burns, and failed grafts.
- Successful control of pathology was achieved in most cases, with complications including flap retraction and the need for evisceration in one instance.
Impact:
- Conjunctival flaps are a valuable, albeit underutilized, surgical option for corneal pathology.
- Consideration of conjunctival flaps is recommended when medical management proves insufficient.
- This procedure can help salvage eyes with severe corneal defects and prevent further vision loss.