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Ophthalmol Case Rep 2017 Volume 1 Issue 1
August 21-23, 2017 | Toronto, Canada
EYE AND VISION
3
rd
International Conference on
Objective:
Available treatments of corneal perforations
can range from temporary or short-term solutions to more
complex repair. The cornea surgeon will choose about it
depending on the underlying disease and taking in count
the size, extent of stromal involvement, location of the
perforation and visual potential. When there is a deficit in
access to a corneal tissue and you are facing an emergency to
solve, but you want to maintain an integrated ocular surface,
thinking about the possibility of a new surgical intervention,
the use of non-pedicled conjunctival flap could be a good
alternative.
Methodology:
We described the use of non pedicled
conjunctival flap in 8 cases of non-traumatic corneal
perforations and impending perforations. This kind of
treatment has not previously been described. All patients
had been treated first for microbial keratitis, and nonetheless
progressed to corneal ulceration with stromal thinning.
Results:
Six (6) patients had a cure or complete remission of
their disease within 4 to 8 weeks of their surgery, leaving an
ocular surface intact, and ready for a corneal transplant in a
future. The other two patients did not have a good evolution
and their flaps disintegrated by advancement of the ulcer so
they needed a new surgery (a new flap or a scleral patch).
Conclusions:
Non pedicled conjunctival flaps are a very good
option for the treatment or corneal perforations especially
when donor tissue is not timely available..
e:
robinrios@hotmail.comUse of non-pedicled conjunctival flap in corneal perforations
Robin Rios, M.D.
Hospital Luis Vernaza, Ecuador