Dermal Graft Alternative to Gunderson Flap Allows Fitting Scleral Shell over Sensitive Cornea
作者:
Jemshed Khan,
期刊:
Ophthalmic Plastic and Reconstructive Surgery
(OVID Available online 1990)
卷期:
Volume 6,
issue 4
页码: 260-264
ISSN:0740-9303
年代: 1990
出版商: OVID
关键词: Conjunctival flap;Corneal sensitivity;Cosmetic shell;Dermis graft;Dermal graft;Gunderson flap;Scleral shell;Split-thickness dermis
数据来源: OVID
摘要:
Corneal discomfort often prevents the successful wearing of a cosmetic scleral shell. Such sensitive corneas are traditionally covered with a Gunderson conjunctival flap. I describe two patients in whom preexisting severe conjunctival scarring precluded the possibility of developing a Gunderson flap. An alternative procedure in which autogenous split-thickness dermal grafts were sutured over the sensitive cornea was utilized in each patient. The dermal grafts reepithelialized with mucosa within 4 weeks, and both patients were then able to retain an ocular prosthesis without discomfort. I conclude that satisfactory corneal coverage may be obtained with a dermal graft when conjunctival scarring precludes the use of a Gunderson flap.
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