Description
Familiarity with Treatment
Conjunctival flap surgery, also known as the Gundersen flap, is a procedure used to treat various corneal diseases and ocular surface disorders. It involves covering the cornea with a flap of the patient’s own conjunctiva to promote healing and provide relief from pain.
Procedure Explanation
- Preparation: The eye is numbed with local anesthesia.
- Flap Creation: A thin flap of conjunctiva is carefully dissected from the eye.
- Flap Transposition: The flap is moved to cover the damaged area of the cornea.
- Securing the Flap: The flap is secured in place using sutures or tissue glue.
- Completion: The eye is monitored for any immediate complications.
Who is it Suitable For?
- Patients with severe dry eye syndrome.
- Individuals with neurotrophic or neuroparalytic keratitis.
- Patients with bullous keratopathy.
- Those with non-healing corneal ulcers or persistent epithelial defects.
Who is it Not Suitable For?
- Patients with active eye infections or severe inflammation.
- Individuals with significant conjunctival scarring.
- Those with a history of poor wound healing or other ocular surface diseases.
Advantages
- Provides metabolic support for corneal healing.
- Relieves pain and discomfort from ocular surface disorders.
- Minimally invasive with a relatively quick recovery time.
- Uses the patient’s own tissue, reducing the risk of rejection.
Complications
- Infection or inflammation.
- Displacement or failure of the flap.
- Scarring or haze on the cornea.
- Temporary discomfort or redness.
Previous Care
- Comprehensive eye examination to determine suitability.
- Discontinuation of contact lenses prior to surgery.
- Discussion of potential risks and benefits with the ophthalmologist.
Aftercare
- Use of prescribed antibiotic and anti-inflammatory eye drops.
- Avoid rubbing the eyes.
- Regular follow-up visits to monitor healing.
- Temporary use of protective eyewear.
Stay at Hospital?
- This is typically an outpatient procedure, so an overnight stay at the hospital is not required. Patients can usually go home the same day after a brief observation period.
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