Conjunctival flaps
The authors reviewed their experience with total conjunctival flaps (TCF) and partial conjunctival flaps (PCF) for the past 5 years in 61 patients. Forty-eight patients had TCF and 13 had PCF. Diagnoses for surgery included severe bullous keratopathy for chronic graft failure (not candidates for ker...
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Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 1998-06, Vol.105 (6), p.1120-1123 |
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creator | Alino, Anne Marie Perry, Henry D. Kanellopoulos, Anastasios J. Donnenfeld, Eric D. Rahn, Elsa K. |
description | The authors reviewed their experience with total conjunctival flaps (TCF) and partial conjunctival flaps (PCF) for the past 5 years in 61 patients.
Forty-eight patients had TCF and 13 had PCF. Diagnoses for surgery included severe bullous keratopathy for chronic graft failure (not candidates for keratoplasty) (19), herpes zoster ophthalmicus (7), chronic ulcerative keratitis (14), neurotrophic keratitis (2), and herpes simplex keratitis (9).
There were seven complications. Four flap retractions occurred in the TCF group, requiring resuturing in two. Three complications occurred in the PCF group. One patient had two flap retractions and recurrent ulceration, requiring tarsorrhaphy. One patient with PCF suffered a perforation after flap retraction, necessitating penetrating keratoplasty.
The authors believe conjunctival flaps are underused and should be considered seriously for bullous keratopathy, neurotrophic keratitis, recalcitrant keratitis, and persistent nonhealing epithelial defects. |
doi_str_mv | 10.1016/S0161-6420(98)96017-1 |
format | Article |
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Forty-eight patients had TCF and 13 had PCF. Diagnoses for surgery included severe bullous keratopathy for chronic graft failure (not candidates for keratoplasty) (19), herpes zoster ophthalmicus (7), chronic ulcerative keratitis (14), neurotrophic keratitis (2), and herpes simplex keratitis (9).
There were seven complications. Four flap retractions occurred in the TCF group, requiring resuturing in two. Three complications occurred in the PCF group. One patient had two flap retractions and recurrent ulceration, requiring tarsorrhaphy. One patient with PCF suffered a perforation after flap retraction, necessitating penetrating keratoplasty.
The authors believe conjunctival flaps are underused and should be considered seriously for bullous keratopathy, neurotrophic keratitis, recalcitrant keratitis, and persistent nonhealing epithelial defects.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/S0161-6420(98)96017-1</identifier><identifier>PMID: 9627666</identifier><identifier>CODEN: OPHTDG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Conjunctiva - surgery ; Corneal Diseases - surgery ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the eye and orbit ; Surgical Flaps ; Treatment Outcome</subject><ispartof>Ophthalmology (Rochester, Minn.), 1998-06, Vol.105 (6), p.1120-1123</ispartof><rights>1998 American Academy of Ophthalmology, Inc.</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-2228bf23ca31e408dff8d3ddb5bb7fc1a65cf351620d775e8777cc06d6641bf63</citedby><cites>FETCH-LOGICAL-c436t-2228bf23ca31e408dff8d3ddb5bb7fc1a65cf351620d775e8777cc06d6641bf63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0161642098960171$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2260652$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9627666$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alino, Anne Marie</creatorcontrib><creatorcontrib>Perry, Henry D.</creatorcontrib><creatorcontrib>Kanellopoulos, Anastasios J.</creatorcontrib><creatorcontrib>Donnenfeld, Eric D.</creatorcontrib><creatorcontrib>Rahn, Elsa K.</creatorcontrib><title>Conjunctival flaps</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>The authors reviewed their experience with total conjunctival flaps (TCF) and partial conjunctival flaps (PCF) for the past 5 years in 61 patients.
Forty-eight patients had TCF and 13 had PCF. Diagnoses for surgery included severe bullous keratopathy for chronic graft failure (not candidates for keratoplasty) (19), herpes zoster ophthalmicus (7), chronic ulcerative keratitis (14), neurotrophic keratitis (2), and herpes simplex keratitis (9).
There were seven complications. Four flap retractions occurred in the TCF group, requiring resuturing in two. Three complications occurred in the PCF group. One patient had two flap retractions and recurrent ulceration, requiring tarsorrhaphy. One patient with PCF suffered a perforation after flap retraction, necessitating penetrating keratoplasty.
The authors believe conjunctival flaps are underused and should be considered seriously for bullous keratopathy, neurotrophic keratitis, recalcitrant keratitis, and persistent nonhealing epithelial defects.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Conjunctiva - surgery</subject><subject>Corneal Diseases - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the eye and orbit</subject><subject>Surgical Flaps</subject><subject>Treatment Outcome</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkLtPwzAQxi0EKqWwsFdiQAiGgB_xOZ4QinhJlRiA2XL8kFylSbGTSvz3pG3UleVuuN93d9-H0Jzge4IJPHwOhWSQU3wrizsJmIiMHKEp4bnMckHYMZoekFN0ltISYwzA8gmaSKACAKbosmybZd-YLmx0feVrvU7n6MTrOrmLsc_Q98vzV_mWLT5e38unRWZyBl1GKS0qT5nRjLgcF9b7wjJrK15VwhuigRvPOAGKrRDcFUIIYzBYgJxUHtgM3ez3rmP707vUqVVIxtW1blzbJyWkZEIKPoB8D5rYphSdV-sYVjr-KoLVNgu1y0JtjSpZqF0Wigy6-Xigr1bOHlSj-WF-Pc51Mrr2UTcmpANGKWDgdMAe95gbwtgEF1UywTXG2RCd6ZRtwz-P_AH1AXjv</recordid><startdate>19980601</startdate><enddate>19980601</enddate><creator>Alino, Anne Marie</creator><creator>Perry, Henry D.</creator><creator>Kanellopoulos, Anastasios J.</creator><creator>Donnenfeld, Eric D.</creator><creator>Rahn, Elsa K.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980601</creationdate><title>Conjunctival flaps</title><author>Alino, Anne Marie ; Perry, Henry D. ; Kanellopoulos, Anastasios J. ; Donnenfeld, Eric D. ; Rahn, Elsa K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-2228bf23ca31e408dff8d3ddb5bb7fc1a65cf351620d775e8777cc06d6641bf63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Conjunctiva - surgery</topic><topic>Corneal Diseases - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the eye and orbit</topic><topic>Surgical Flaps</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alino, Anne Marie</creatorcontrib><creatorcontrib>Perry, Henry D.</creatorcontrib><creatorcontrib>Kanellopoulos, Anastasios J.</creatorcontrib><creatorcontrib>Donnenfeld, Eric D.</creatorcontrib><creatorcontrib>Rahn, Elsa K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alino, Anne Marie</au><au>Perry, Henry D.</au><au>Kanellopoulos, Anastasios J.</au><au>Donnenfeld, Eric D.</au><au>Rahn, Elsa K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Conjunctival flaps</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>1998-06-01</date><risdate>1998</risdate><volume>105</volume><issue>6</issue><spage>1120</spage><epage>1123</epage><pages>1120-1123</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>The authors reviewed their experience with total conjunctival flaps (TCF) and partial conjunctival flaps (PCF) for the past 5 years in 61 patients.
Forty-eight patients had TCF and 13 had PCF. Diagnoses for surgery included severe bullous keratopathy for chronic graft failure (not candidates for keratoplasty) (19), herpes zoster ophthalmicus (7), chronic ulcerative keratitis (14), neurotrophic keratitis (2), and herpes simplex keratitis (9).
There were seven complications. Four flap retractions occurred in the TCF group, requiring resuturing in two. Three complications occurred in the PCF group. One patient had two flap retractions and recurrent ulceration, requiring tarsorrhaphy. One patient with PCF suffered a perforation after flap retraction, necessitating penetrating keratoplasty.
The authors believe conjunctival flaps are underused and should be considered seriously for bullous keratopathy, neurotrophic keratitis, recalcitrant keratitis, and persistent nonhealing epithelial defects.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9627666</pmid><doi>10.1016/S0161-6420(98)96017-1</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Aged, 80 and over Biological and medical sciences Conjunctiva - surgery Corneal Diseases - surgery Female Humans Male Medical sciences Middle Aged Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the eye and orbit Surgical Flaps Treatment Outcome |
title | Conjunctival flaps |
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