Modified Gundersen Flap Using Inferior Palpebral-Bulbar Conjunctiva.

ABSTRACT:

Purpose

The purpose of this article was to describe a modification to the traditional Gundersen flap technique that expands eligible eyes to include those with severe conjunctival scarring and to report results from a clinical case.

Methods

A 68-year-old woman with a history of herpes simplex keratitis, multiple failed penetrating keratoplasties, lagophthalmos, persistent epithelial defect, and low visual potential in the left eye presented for the evaluation of a Gundersen flap. Severe superior bulbar conjunctival scarring precluded a traditional approach. A modified Gundersen flap technique using a contiguous flap of inferior palpebral-bulbar conjunctiva extending from the inferior tarsal border to the limbus was devised and performed.

Results

The modified Gundersen

SUBMITTER: Mekonnen B 

PROVIDER: S-EPMC8766997 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature