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Cosmetic shell fitting over a sensitive cornea in mild phthisis bulbi using total conjunctival flap
Jingwen Ding1, Tao Chen, Zhijia Hou
1Beijing Tongren Eye Center, Beijing Tongren Hospital Beijing Ophthalmology & Visual Science Key Lab, Capital Medical University, Beijing, 100730, China.
Aesthetic Plastic Surgery
|January 31, 2013
Summary
A conjunctival flap covering effectively manages sensitive corneas in phthisis bulbi, improving scleral shell wear time and cosmetic outcomes. This globe-conserving technique offers a successful alternative to more invasive procedures.
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
Background:
- Phthisis bulbi presents challenges for cosmetic rehabilitation.
- Scleral shells offer an alternative to enucleation/evisceration but can cause corneal irritation.
- Sensitive corneas limit scleral shell wearing time.
Purpose of the Study:
- To evaluate the clinical effectiveness of a total conjunctival flap covering for managing mild phthisis bulbi with sensitive corneas.
- To assess the impact of this technique on scleral shell wear and patient satisfaction.
Main Methods:
- A surgical technique combining total conjunctival flap covering and superficial lamellar keratectomy was employed.
- Patient records from September 2003 to July 2011 were reviewed.
- Outcomes included cosmetic appearance, complications, and patient satisfaction.
Main Results:
- Surgical success was achieved in 90% of 58 patients.
- The procedure allowed for scleral shell fitting and improved cosmetic appearance.
- Low rates of postoperative complications were observed, with 52 subjects requiring no further intervention.
Conclusions:
- Total conjunctival flap is an effective globe-conserving option for cosmetic rehabilitation in mild phthisis bulbi.
- It provides a viable alternative to enucleation or evisceration.
- This technique enhances patient satisfaction by enabling scleral shell use.
