Improved conjunctival transplantation for corneal ulcer.

Abstract

OBJECTIVE:

To evaluate the therapeutic effect of pedical conjunctival flap transposition on refractory corneal ulcer.

METHODS:

The data of 56 eyes of 56 patients with refractory corneal ulcer who underwent pedical conjuctival transposition in a tertiary eye unit in China from June 2005 to June 2009 were retrospectively analyzed. There were 36 infective corneal ulcers, 9 keratoplasty graft ulcers, 4 traumatic ulcers, and 7 chemical burn ulcers. All patients were treated with focal debridement and pedical conjuctival flap transposition.

RESULTS:

Forty-seven out of 56 (83.9%) were cured after one surgery, and 5 (8.9%) had conjunctival flap retraction, among which 3 underwent the second surgery and 2 had the third surgery to completely heal. Four patients (7.2%) turned to lamellar keratoplasty because of fungal corneal ulcer relapse. Ulcer in 52 patients healed and the globe preserved. They had different levels of vision improvement.

CONCLUSION:

Pedical conjunctival flap transposition is effective for refractory corneal ulcer.

• Authors: Qinghua Zhou, Xianhua Long, Xiaohua Zhu
• Journal: Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences (Zhong Nan Da Xue Xue Bao Yi Xue Ban) Vol. 35 Issue 8 Pg. 814-8 (Aug 2010) ISSN: 1672-7347 [Print] China
• PMID: 20818073 (Publication Type: Evaluation Study, Journal Article)

Topics

• Adolescent
• Adult
• Conjunctiva (transplantation)
• Corneal Ulcer (surgery)
• Female
• Humans
• Male
• Middle Aged
• Ophthalmologic Surgical Procedures (methods)
• Recurrence
• Retrospective Studies
• Surgical Flaps
• Young Adult