- AM Alino, HD Perry, AJ Kanellopoulos et al (Nassan County Med Ctr, East Meadow, Ny;
New York Eye and Ear Infirmary; Harvard Med School,Boston; et al )
Ophthalmology 105: 1120-1123, 1998.
The use of conjunctival flaps for various corneal diseases with a compromised ocular surface is a proven procedure.
Currently conjunctival flaps are under used. Both total and partial conjunctival flaps are of beneficial effect in cases of bullous keratopathy, neurotrophic keratitis, recalcitrant keratitis and persistent non-healing epithelial defects.
The Gunderson flap, which uses upper bulbar conjunctiva, leaving a bridge of tissue available nasally and temporally for a vascular supply is quite useful.