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Kyoung Yul Seo - One of the best experts on this subject based on the ideXlab platform.

  • Conjunctival Flap with biodegradable collagen matrix implantation for the treatment of scleromalacia after periocular surgery
    Ocular Immunology and Inflammation, 2019
    Co-Authors: Kyung Eun Han, Tae Im Kim, Eung Kweon Kim, Sangchul Yoon, Roo Min Jun, Kyoung Yul Seo
    Abstract:

    Purpose: To report a new surgical procedure using biodegradable collagen matrix (Ologen) implantation with Conjunctival Flap for reconstruction of scleromalacia after periocular surgery.Methods: A ...

  • long term clinical outcomes of Conjunctival Flap surgery for calcified scleromalacia after periocular surgery
    Cornea, 2015
    Co-Authors: Ji Won Jung, Kye Yoon Kwon, Deana Lynn Choi, Tae Im Kim, Eung Kweon Kim, Kyoung Yul Seo
    Abstract:

    PURPOSE: The aim of this study was to investigate long-term clinical outcomes of Conjunctival Flap surgery for calcified scleromalacia after periocular surgery. METHODS: We examined 73 surgical sites (nasal and/or temporal area) in 60 eyes from 43 patients who underwent Conjunctival Flap surgery for calcified scleromalacia arising from cosmetic wide conjunctivectomy or pterygium excision. Clinical outcomes, including the need for reoperation and development of complications, were evaluated over a long-term follow-up period. Morphological evaluations of the surgical area at final follow-up were performed using a total score for injection severity, ocular surface smoothness, and choroid visibility, and patients subjectively evaluated their cosmetic outcome using a scale of 0 (very poor) to 4 (excellent). RESULTS: The mean follow-up duration after final Conjunctival Flap surgery was 26.5 ± 6.8 months (range, 15-52 months). There were no cases of progressive scleral thinning or serious complications such as Flap necrosis or scleral perforation. Only 3 surgical areas with an inferior Flap required additional Flap placement because of avascular sclera exposure. Minor complications such as Conjunctival cyst, edematous Flap, vessel engorgement, and Flap hypertrophy were easily treated or spontaneously improved. Mean morphological score was 2.2 and cosmetic outcome score was 2.9, indicating almost "good" outcomes. CONCLUSIONS: Based on our long-term experience, we propose that Conjunctival Flap surgery may be a safe and satisfactory treatment for complicated calcified scleromalacia after periocular surgery.

  • Conjunctival Flap surgery for calcified scleromalacia after cosmetic conjunctivectomy.
    Cornea, 2013
    Co-Authors: Hee J Kwon, Sang M. Nam, Sang Yeop Lee, Ji M. Ahn, Kyoung Yul Seo
    Abstract:

    Purpose:To investigate the long-term clinical course of scleromalacia with calcified plaque as a complication of cosmetic conjunctivectomy with topical mitomycin C (MMC) application and to introduce a surgical method for this complication using calcified plaque removal and/or Conjunctival Flap surge

Manju Singh - One of the best experts on this subject based on the ideXlab platform.

  • Conjunctival Flap in manual sutureless small incision cataract surgery a necessity or dogmatic
    International Ophthalmology, 2012
    Co-Authors: Punitkumar Singh, Subhadra Singh, Gajesh Bhargav, Manju Singh
    Abstract:

    To compare the surgical outcomes of manual sutureless small-incision extracapsular cataract surgery (MSICS) with versus without a Conjunctival Flap for the treatment of cataracts. Prospective, randomized comparison of 220 consecutive patients with visually significant cataracts. Tertiary level eye clinic. 220 consecutive patients with cataracts. Patients assigned randomly to receive either SICS with a Conjunctival Flap or without one. Operative time, surgical complications, surgically induced astigmatism. Both surgical techniques achieved comparable surgical outcomes with comparable complication rates. The operative time was markedly less in group without Flap (mean duration of 7.67 ± 1.45 min) than in group with Flap (mean duration of 11.46 ± 1.69 min) (p value <0.001). In the group without a Flap intraoperative pupillary miosis was significantly greater (p value 0.039) and on postoperative day 1, there were greater patients with a subConjunctival bleed involving greater than one quadrant of the bulbar conjunctiva (p value <0.0001). Also, post operative Conjunctival retraction and consequent wound exposure was also significantly higher in this group (p value 0.026). However, the rate of other serious complications like any postop hyphaema, Conjunctival bleb formation, iris prolapse, tunnel stability, shallow anterior chamber, post operative uveitis, malpositioned IOL, retinal detachment, cystoid macular edema, endophthalmitis were comparable in both. Both MSICS with and without a Conjunctival Flap achieved good surgical outcomes with comparable complication rates. But Flapless MSICS is significantly faster. However it may be associated with higher intraoperative miosis and greater postoperative wound exposure.

David J Holcombe - One of the best experts on this subject based on the ideXlab platform.

  • surgical revision of dysfunctional filtration blebs with bleb preservation sliding Conjunctival Flap and fibrin glue
    Eye, 2010
    Co-Authors: David J Holcombe
    Abstract:

    Surgical revision of dysfunctional filtration blebs with bleb preservation, sliding Conjunctival Flap and fibrin glue

  • Surgical revision of dysfunctional filtration blebs with bleb preservation, sliding Conjunctival Flap and fibrin glue
    Eye, 2010
    Co-Authors: G A Lee, David J Holcombe
    Abstract:

    Purpose The introduction of anti-metabolite regimens to glaucoma filtration surgery has improved post-operative intraocular pressure (IOP) control; however, it has also increased the frequency of dysfunctional blebs. In this study, we report a surgical technique for the repair of trabeculectomy blebs using bleb preservation, a sliding Conjunctival Flap, and fibrin glue. Methods This study is a retrospective, non-comparative, consecutive case series involving 10 eye samples collected from 10 patients (6 M : 4 F) with one or a combination of bleb overfiltration, dysesthesia, thinning, leak, or blebitis, in which a Conjunctival Flap was advanced over the failing bleb and secured in place using fibrin glue and sutures. Results All patient eyes had symptom resolution post-operatively. There were no bleb leaks or hypotonous eyes after an average follow-up of 15.2 months (range: 6–31 months). Three patients required needling augmented with 5-fluorouracil needling to maintain IOP control. IOP decreased from a mean of 13.6±1.8 mm Hg (with a mean of 0.7 glaucoma medications) pre-operatively to 11.7±0.9 mm Hg (with a mean of 0.9 glaucoma medications). Conclusion Conjunctival Flap advancement with bleb preservation and adjunctive fibrin glue is a successful technique used for the treatment of bleb dysfunction. The major advantages compared with other techniques are preservation of IOP control and reduced post-operative complications, such as wound leak and the need for re-suturing.

Punitkumar Singh - One of the best experts on this subject based on the ideXlab platform.

  • Conjunctival Flap in manual sutureless small incision cataract surgery a necessity or dogmatic
    International Ophthalmology, 2012
    Co-Authors: Punitkumar Singh, Subhadra Singh, Gajesh Bhargav, Manju Singh
    Abstract:

    To compare the surgical outcomes of manual sutureless small-incision extracapsular cataract surgery (MSICS) with versus without a Conjunctival Flap for the treatment of cataracts. Prospective, randomized comparison of 220 consecutive patients with visually significant cataracts. Tertiary level eye clinic. 220 consecutive patients with cataracts. Patients assigned randomly to receive either SICS with a Conjunctival Flap or without one. Operative time, surgical complications, surgically induced astigmatism. Both surgical techniques achieved comparable surgical outcomes with comparable complication rates. The operative time was markedly less in group without Flap (mean duration of 7.67 ± 1.45 min) than in group with Flap (mean duration of 11.46 ± 1.69 min) (p value <0.001). In the group without a Flap intraoperative pupillary miosis was significantly greater (p value 0.039) and on postoperative day 1, there were greater patients with a subConjunctival bleed involving greater than one quadrant of the bulbar conjunctiva (p value <0.0001). Also, post operative Conjunctival retraction and consequent wound exposure was also significantly higher in this group (p value 0.026). However, the rate of other serious complications like any postop hyphaema, Conjunctival bleb formation, iris prolapse, tunnel stability, shallow anterior chamber, post operative uveitis, malpositioned IOL, retinal detachment, cystoid macular edema, endophthalmitis were comparable in both. Both MSICS with and without a Conjunctival Flap achieved good surgical outcomes with comparable complication rates. But Flapless MSICS is significantly faster. However it may be associated with higher intraoperative miosis and greater postoperative wound exposure.

Erol Yildirim - One of the best experts on this subject based on the ideXlab platform.

  • a comparative study of recurrent pterygium surgery limbal Conjunctival autograft transplantation versus mitomycin c with Conjunctival Flap
    Ophthalmology, 1999
    Co-Authors: Fatih Mehmet Mutlu, Gungor Sobaci, Tamer Tatar, Erol Yildirim
    Abstract:

    Abstract Objective To compare the recurrence rate following treatment of recurrent pterygia using one of two techniques—limbal Conjunctival autograft transplantation versus low-dose intraoperative mitomycin C (0.2 mg/ml) combined with Conjunctival Flap closure. Design Randomized clinical trial. Participants Eighty-one patients with recurrent pterygia treated by limbal Conjunctival autograft transplantation (n= 41) or mitomycin C combined with Conjunctival Flap (n= 40) participated. Intervention Limbal Conjunctival autograft transplantation or low-dose intraoperative mitomycin C application with Conjunctival Flap technique was performed on recurrent pterygium cases. Main outcome measures Recurrence of pterygium and postoperative complications. Results During mean follow-up periods of 16±1.9 and 15.5±1.5 months, six recurrences (14.6%) in the limbal Conjunctival autograft transplantation group and five recurrences (12.5%) in the mitomycin C group were observed (P=0.77). The difference between the mean ages of recurrent (26.4±8.0 years) and nonrecurrent (35.8±11.9 years) cases for all patients was statistically significant (P=0.014). Technically, limbal Conjunctival autograft transplantation seemed to be more difficult. The most frequent complication in limbal Conjunctival autograft transplantation was graft edema, whereas that in the mitomycin C group was superficial keratitis. Conclusion Both techniques showed similar recurrence rates in the treatment of recurrent pterygia. Although technically easier to perform, further follow-up is necessary to determine the long-term safety of low-dose intraoperative mitomycin C with Conjunctival Flap closure. The surgeon’s familiarity with either procedure should determine the method of choice.