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Year : 1982  |  Volume : 30  |  Issue : 4  |  Page : 351-352

Conjunctival flap in perforated corneal ulcers

Gandhi Eye Hospital, Aligarh, India

Correspondence Address:
U S Srivastava
Gandhi Eye Hospiial, Aligarh
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Source of Support: None, Conflict of Interest: None

PMID: 7166417

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How to cite this article:
Srivastava U S, Tyagi R N, Jain A K. Conjunctival flap in perforated corneal ulcers. Indian J Ophthalmol 1982;30:351-2

How to cite this URL:
Srivastava U S, Tyagi R N, Jain A K. Conjunctival flap in perforated corneal ulcers. Indian J Ophthalmol [serial online] 1982 [cited 2023 Feb 5];30:351-2. Available from: https://www.ijo.in/text.asp?1982/30/4/351/29469

Table 2

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Table 2

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Table 1

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Table 1

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Perforation of corneal ulcer, which is not an infrequent phenomenon, leads to loss of eye if treatment is not started immediately. Ful thickness corneal graft is the treatment of choice for this condition but it can only be done at centres where this facility is available throughout the year. Unfortunately, this facility does not exist at most of the ophthal­mic centres in our country and hence other methods of treatment have to be undertaken. Conjunctival flap is one of the oldest methods of treatment for this condition.

Conjunctival flab was evaluated as a routine treatment of perforated corneal ulcers of less than 4mm in diameter with the primary aim to save the eye from infection and shrink­age and to perform a planned penetrating keratoplasty at later date wherever and whenever possible.

  Materials and methods Top

A total number of 37 cases with perforated corneal ulcers with or without iris prolapse of less than 4mm in diameter, which were treated in last 2 years, were taken up for this review. These 37 cases included central and eccentric perforations with and without iris prolapse [Table - 1]. Central perforated corneal ulcer which encroached part of 4mm diameter of central cornea. There were 5 uniocular patients. Perforated portion of cornea was well covered up with thin conjunctival flap in usual manner. The redundant portion of the flap was excised following completion of heal­ing process.

  Observations and discussion Top

Conjunctival flap was successfully taken up in 30 cases, out of total number of 37 cases of perforated corneal ulcers [Table - 2]. The resultant visual acuity was dependent upon the site and size of perforation and also on the presence of lenticular changes. Out of 26 cases of successful flap in eccentric perforation, 20 got visual acuity of 6/36 or more by snellan's chart. In remaining 6 cases, optical iridectomy was done later on to give working vision. In 4 cases with central perforation, where flap was successful planned penetrating keratoplasty was undertaken.


  [Table - 1], [Table - 2]


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