Conjunctival flap cover surgery:10-year review

作     者：Yong Yao Vishal Jhanji 

作者机构：Joint International Eye CenterShanTou University and The Chinese University of Hong KongShantou 515041China Department of Ophthalmology and Visual SciencesThe Chinese University of Hong KongHong KongChina 

出 版 物：《Annals of Eye Science》 (眼科学年鉴（英文）)

年 卷 期：2017年第2卷第1期

页      面：97-103页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Cornea conjunctiva conjunctival flap ocular surface 

摘      要：Background:To evaluate the conjunctival flap cover surgery for the treatment of ocular surface ***: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 *** indications,symptoms and complications experienced by patients undergoing partial or total conjunctival flap cover surgery were ***:In all of these cases,satisfactory anatomic and functional outcomes were *** 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 *** eye pain,foreign body sensation and other discomforts presented in the last *** 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 *** 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 *** addition,4 eyes out of 253 patients(1.6%)presented cystic flap and two of them received surgical ***:Conjunctival flap cover surgery is an underused *** primary indication is refractory corneal ulcer and corneal perforation,and its second indication is