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Conjunctival flaps

A M Alino1, H D Perry, A J Kanellopoulos

  • 1Department of Ophthalmology, Nassau County Medical Center, East Meadow, New York, USA.

Ophthalmology
|June 17, 1998
PubMed
Summary
This summary is machine-generated.

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Conjunctival flaps, including total conjunctival flaps (TCF) and partial conjunctival flaps (PCF), are effective for managing severe corneal conditions. While complications like flap retraction can occur, these procedures offer valuable treatment options for various keratitis types.

Area of Science:

  • Ophthalmology
  • Corneal Surgery

Background:

  • Severe corneal conditions like bullous keratopathy and recalcitrant keratitis pose significant challenges.
  • Conjunctival flaps are a surgical option for eyes not suitable for keratoplasty.

Purpose of the Study:

  • To review the authors' 5-year experience with total conjunctival flaps (TCF) and partial conjunctival flaps (PCF).
  • To evaluate the efficacy and complications of conjunctival flaps in managing various corneal diseases.

Main Methods:

  • Retrospective review of 61 patients undergoing TCF or PCF over 5 years.
  • Analysis of diagnoses including severe bullous keratopathy, herpes zoster ophthalmicus, chronic ulcerative keratitis, neurotrophic keratitis, and herpes simplex keratitis.
  • Comparison of outcomes between TCF (48 patients) and PCF (13 patients).

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Main Results:

  • Seven complications were reported across both groups.
  • Four flap retractions occurred in the TCF group, with two requiring resuturing.
  • Three complications occurred in the PCF group, including flap retractions, recurrent ulceration, and one perforation necessitating penetrating keratoplasty.

Conclusions:

  • Conjunctival flaps are considered underutilized in ophthalmic practice.
  • TCF and PCF should be seriously considered for conditions such as bullous keratopathy, neurotrophic keratitis, recalcitrant keratitis, and persistent nonhealing epithelial defects.