title: A simple method of conjunctival dissection for Gunderson flaps.
abstract: In this study we describe a method for simplifying the often frustrating and time-consuming task of dissecting conjunctiva from underlying Tenon's capsule during Gunderson flap procedures. Using gentian violet marks as a guide, a needle and two pairs of scissors are used in series to separate superior bulbar conjunctiva from the superficial layers of Tenon's capsule along a series of semimeridians. The techniques provides the surgeon with important landmarks, reduces the risk of inadvertent buttonholing, and minimizes conjunctival retraction caused by uneven dissection of Tenon's capsule.
authors.affiliation: Department of Ophthalmology, Mayo Clinic, Rochester, MN 55905.
authors.forename: L J
authors.initials: LJ
authors.lastname: Maguire
authors.forename: D R
authors.initials: DR
authors.lastname: Shearer
mesh_terms: D003228:Conjunctiva / Q000637:transplantation*; D004210:Dissection / Q000379:methods*; D006801:Humans; D013524:Surgical Flaps