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ISSN 1561-3070 (Electronic)

2018, Number 4

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Rev Cub Oftal 2018; 31 (4)

Conjunctival flap in corneal diseases

Hernández FY, Pérez PZ, León RY, Cabrera LM, Castillo PAC, Fernández GO

Language: Spanish
References: 24
Page: 25-33
PDF size: 255.59 Kb.


ABSTRACT

Objective: To determine the effectiveness of the conjunctival flap to treat corneal diseases.
Methods: Retrospective, descriptive and cross-sectional study was carried out from 2015 to 2017 at “Ramon Pando Ferrer” Cuban Institute of Ophthalmology. The sample was made up of 52 patients who went to the outpatient Service of the Corneal Department of the institution.
Results: Males represented 63.5 % of patients. The 50-59 y group represented 26.9 %. Among the corneal diseases, descemetocele exhibited the highest percentage (30.8 %) followed by corneal ulcers (23.1 %). The most used surgical technique was the total conjunctival flap in 46.2 % of surgeries. 80.8 % of patients evolved into corneal scarring. The most frequent complication was flap retraction (9.6 %).
Conclusions: The conjunctival flaps represent a simple and effective surgical procedure in patients who do not respond to medical treatment or in corneal perforations equal or under 3 mm. This is an extraocular procedure that may be performed in emergency in order to release pain and inflammation and may be reversed later to perform surgeries aimed at visual problems.


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