Background:To evaluate the conjunctival flap cover surgery for the treatment of ocular surface disorders.Methods:Retrospective uncontrolled study was performed.A total of 253 eyes of 253 patients who had received conj...Background:To evaluate the conjunctival flap cover surgery for the treatment of ocular surface disorders.Methods:Retrospective uncontrolled study was performed.A total of 253 eyes of 253 patients who had received conjunctival flap cover surgery during a 10-year period were included.The indications,symptoms and complications experienced by patients undergoing partial or total conjunctival flap cover surgery were reviewed.Results:In all of these cases,satisfactory anatomic and functional outcomes were achieved.The BCVA of 224 eyes out of 253 patients(88.5%)were no worse than that of preoperative and the BCVA of 29 eyes out of 253 patients(11.5%)decreased postoperatively.No eye pain,foreign body sensation and other discomforts presented in the last visit.The surgical indications was therapeutic for 138 out of 253 patients(54.5%),aesthetic for 63 eyes out of 253 patients(24.9%),tectonic for 45 eyes out of 253 patients(17.8%),and analgesic for 7 eyes out of 253 patients(2.8%).The primary diagnose of therapeutic indications is refractory corneal ulcer for 135 eyes out of 253 patients(53.4%).The main diagnose of aesthetic indications is atrophy of eyeball for 45 eyes out of 253 patients(17.8%)and corneal leukoma for 18 eyes out of 253 patients(7.1%).The principal diagnose of tectonic indications is corneal perforation for 43 eyes out of 253 patients(17%).The main intraoperative complications is buttonhole formation for 8 eyes out of 253 patients(3.2%),which can be handled by simple suture.The most severe complications postoperatively was conjunctival flaps dissolving and corneal perforation for 3 eyes out of 253 patients(1.2%),and corneal transplantation had to be performed to avoid enucleation.In addition,4 eyes out of 253 patients(1.6%)presented cystic flap and two of them received surgical excision.Conclusions:Conjunctival flap cover surgery is an underused technique.Its primary indication is refractory corneal ulcer and corneal perforation,and its second indication is aesthetic with poor visual potential coexisting 展开更多
文摘Background:To evaluate the conjunctival flap cover surgery for the treatment of ocular surface disorders.Methods:Retrospective uncontrolled study was performed.A total of 253 eyes of 253 patients who had received conjunctival flap cover surgery during a 10-year period were included.The indications,symptoms and complications experienced by patients undergoing partial or total conjunctival flap cover surgery were reviewed.Results:In all of these cases,satisfactory anatomic and functional outcomes were achieved.The BCVA of 224 eyes out of 253 patients(88.5%)were no worse than that of preoperative and the BCVA of 29 eyes out of 253 patients(11.5%)decreased postoperatively.No eye pain,foreign body sensation and other discomforts presented in the last visit.The surgical indications was therapeutic for 138 out of 253 patients(54.5%),aesthetic for 63 eyes out of 253 patients(24.9%),tectonic for 45 eyes out of 253 patients(17.8%),and analgesic for 7 eyes out of 253 patients(2.8%).The primary diagnose of therapeutic indications is refractory corneal ulcer for 135 eyes out of 253 patients(53.4%).The main diagnose of aesthetic indications is atrophy of eyeball for 45 eyes out of 253 patients(17.8%)and corneal leukoma for 18 eyes out of 253 patients(7.1%).The principal diagnose of tectonic indications is corneal perforation for 43 eyes out of 253 patients(17%).The main intraoperative complications is buttonhole formation for 8 eyes out of 253 patients(3.2%),which can be handled by simple suture.The most severe complications postoperatively was conjunctival flaps dissolving and corneal perforation for 3 eyes out of 253 patients(1.2%),and corneal transplantation had to be performed to avoid enucleation.In addition,4 eyes out of 253 patients(1.6%)presented cystic flap and two of them received surgical excision.Conclusions:Conjunctival flap cover surgery is an underused technique.Its primary indication is refractory corneal ulcer and corneal perforation,and its second indication is aesthetic with poor visual potential coexisting
