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ARTICLES |
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Year : 1982 | Volume
: 30
| Issue : 4 | Page : 351-352 |
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Conjunctival flap in perforated corneal ulcers
US Srivastava, RN Tyagi, AK Jain
Gandhi Eye Hospital, Aligarh, India
Correspondence Address: U S Srivastava Gandhi Eye Hospiial, Aligarh India
Source of Support: None, Conflict of Interest: None | Check |
PMID: 7166417
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 |
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 | | |
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 | | |
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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