scholarly journals Sympathetic ophthalmia following a conjunctival flap procedure for corneal perforation

2016 ◽  
pp. bcr2016214344 ◽  
Author(s):  
Koushik Tripathy ◽  
Kanhaiya Mittal ◽  
Rohan Chawla
Keyword(s):  
Sympathetic Ophthalmia ◽  
Corneal Perforation ◽  
Conjunctival Flap ◽  
Flap Procedure

A Case of Sympathetic Ophthalmia due to Corneal Perforation in a Patient with Meningioma

2015 ◽  
Vol 56 (2) ◽  
pp. 275
Author(s):  
Yoon Mi Sung ◽  
Su Kyung Jung ◽  
Kyu Seop Kim ◽  
Suk Woo Yang
Keyword(s):  
Sympathetic Ophthalmia ◽  
Corneal Perforation

scholarly journals Modified conjunctival flap as a primary procedure for nontraumatic acute corneal perforation

2018 ◽  
Vol 30 (1) ◽  
pp. 24
Author(s):  
Yi-Chen Sun ◽  
JasonP Kam ◽  
TuengT Shen
Keyword(s):  
Corneal Perforation ◽  
Conjunctival Flap ◽  
Primary Procedure

scholarly journals Bilateral corneal perforation following the use of traditional herbal medicine treated with conjunctival flap

2014 ◽  
Vol 6 (2) ◽  
pp. 237-239
Author(s):  
Varanisese Naviri ◽  
Roger Dethlefs
Keyword(s):  
Herbal Medicine ◽  
Harmful Effect ◽  
Corneal Perforation ◽  
Full Thickness ◽  
Light Perception ◽  
Traditional Herbal Medicine ◽  
Conjunctival Flap ◽  
The Right ◽  
Corneal Melting ◽  
Iris Prolapse

Introduction: The harmful effect of the herbal medicine to the eye has not been well reported in the literature.Objective: To report a case of bilateral corneal perforation following the use of traditional herbal medicine treated with conjunctival flap.Case: A 46-year-old Fijian man initially presented with bilateral conjunctivitis, which was thought to be an allergic response to the use of herbal medicine. Vision at initial presentation was normal and he was treated conservatively. Upon review a week later, his vision had decreased to light perception in both eyes. The examination revealed bilateral corneal perforation with iris prolapse, which was then treated with a full thickness conjunctival flap in both eyes in the same sitting. Upon review at 3 weeks of intervention, his vision had improved to hand motions in the right eye and 6/60 in the left. The anterior chamber was formed on both sides.  Conclusion: This case illustrates that the use of herbal medicine can cause corneal melting and subsequently perforations and this can be treated with a conjunctival flap.DOI: http://dx.doi.org/10.3126/nepjoph.v6i2.11716Nepal J Ophthalmol 2014; 6(12): 237-239 

scholarly journals Allogeneic sclera graft combined autologous conjunctival flap for repairing the emergent corneal perforation

2018 ◽  
Vol 2 ◽  
pp. 66-66
Author(s):  
Shuangyong Wang ◽  
Ying Tian ◽  
Haifeng Zhu ◽  
Yan Cheng ◽  
Jie Wu
Keyword(s):  
Corneal Perforation ◽  
Conjunctival Flap

scholarly journals Combined Rothia dentocariosa and Streptococcus viridans Corneal Ulcer in an Immunocompromised Patient

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Jamie Dietze ◽  
Thomas Mauger
Keyword(s):  
Corneal Ulcer ◽  
Immunocompromised Patient ◽  
Streptococcus Viridans ◽  
Causative Organism ◽  
Common Condition ◽  
Comorbid Conditions ◽  
Conjunctival Flap ◽  
Flap Procedure ◽  
Mucous Discharge ◽  
Chemotherapy Agents

Keratitis is a very common condition seen by ophthalmologists. However, many factors can complicate the treatment of this depending on the causative organism and other patient comorbid conditions. The objective of this clinical case report is to highlight the treatment of keratitis caused by Rothia dentocariosa. It also looks at the unique considerations in keratitis presentations for patients immunocompromised by chemotherapy agents. Our patient is a 58 yo female undergoing chemotherapy with folinic acid, fluorouracil, irinotecan, and panitumumab who presented with several days of a red, painful right eye with mucous discharge. Cultures were positive for Rothia dentocariosa and Streptococcus viridans. The patient ultimately underwent a conjunctival flap procedure as medical therapy with proper oral and topical antibiotics failed to resolve keratitis. This case is unique as previously, only a couple of cases of keratitis caused by Rothia dentocariosa have been reported and none of those patients were immunocompromised nor failed antibiotic therapy.

Surgical Management for Glaucoma

Glaucoma ◽  
2012 ◽  
Author(s):  
Mohammed Kamal ElMallah
Keyword(s):  
Local Anesthesia ◽  
Patient Characteristics ◽  
Glaucoma Drainage Device ◽  
Adjacent Area ◽  
Corneal Perforation ◽  
Current Form ◽  
Conjunctival Flap ◽  
Subconjunctival Space ◽  
Traction Suture ◽  
Good Exposure

•The most commonly performed incisional procedures for glaucoma are trabeculectomy and glaucoma tube shunts (glaucoma drainage device [GDD]). Trabeculectomy is the more prevalent surgical procedure, yet the use of GDD is increasing. Although practice patterns may change with the results of the Tube vs. Trabeculectomy Study, for most surgeons trabeculectomy remains their primary procedure. • A GDD is typically indicated when a trabeculectomy is judged likely to fail •Trabeculectomy in its current form was described by Cairns in 1968. •The basic concept is to create an alternate path for aqueous egress out of the eye into the subconjunctival space. •General anesthesia is indicated in pediatric patients as well as adults not able to cooperate during surgery. Local anesthesia with monitored anesthesia care (MAC) is used in the vast majority of adults. Methods of local anesthesia vary based on surgeon preference as well as patient characteristics. See Table 12.2 for common routes of anesthetic administration. A traction suture allows manipulation of the globe to provide adequate surgical exposure, which is essential for successful filtering surgery. •Superior rectus bridle suture provides good exposure but has been associated with worse outcomes, produces holes in the conjunctiva that could potentially leak, may increase conjunctival scarring, and carries a small risk of scleral perforation. •Superior corneal traction suture (Fig. 12.1A) provides good exposure but may interfere with wound closure in a fornix-based incision and carries a risk of corneal perforation. •Clinical Pearl: If a corneal perforation occurs, remove the suture and pass it in an adjacent area of cornea. Usually there is no leakage once the suture is removed. If leakage is present, the surgeon can hydrate the suture track. •Inferior corneal traction suture provides less exposure than superior sutures. There is less risk of wound superior distortion, so it may be useful for fornix-based incisions. Can be placed either at the limbus (fornix-based conjunctival flap) or in the fornix, 10 mm back from the limus (limbal-based conjunctival flap).

scholarly journals Paecilomyces keratitis with corneal perforation salvaged by a conjunctival flap and delayed keratoplasty.

1994 ◽  
Vol 78 (2) ◽  
pp. 157-158 ◽  
Author(s):  
S Mizunoya ◽  
Y Watanabe
Keyword(s):  
Corneal Perforation ◽  
Conjunctival Flap

A Case of Conjunctival Autotransplantation Using Conjunctival Flap of Pterygium in Treating Corneal Ulcer Perforation

2008 ◽  
Vol 49 (12) ◽  
pp. 2006 ◽  
Author(s):  
Sang Moon Jeoung ◽  
Jae Seok Im ◽  
Dong Park
Keyword(s):  
Corneal Ulcer ◽  
Ulcer Perforation ◽  
Conjunctival Flap
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