The purpose of this study was to examine the outcomes of conjunctival flaps performed at our institution.
The medical records of all patients who underwent a total or partial conjunctival flap
surgery over the course of a 6-year period from 2010 to 2015 were reviewed to identify the ocular diagnoses and perform a retrospective review of the preoperative and postoperative course.
Thirty-five patients received a conjunctival flap
during the 6-year period, 20 partial flaps and 15 total flaps. Infectious keratitis
or corneal ulceration accounted for 25 (71.4%) of the cases. The remaining flaps were performed for corneal perforation, graft rejection, bullous keratopathy, and secondary corneal edema. Seven patients had recession of their flap postoperatively, and 14 went on to have further surgical intervention. Conjunctival flap
surgery successfully stabilized the patient's ocular surface
in 97.1% of the cases.
Conclusion: Conjunctival flap
surgery is an important and useful surgical option in the treatment of ocular surface
disease, especially recalcitrant infectious keratitis
and corneal ulcers.