title: A periosteal-temporalis fascia pedicle flap for repairing impending ocular perforations and extruding keratoprostheses.
abstract: We repaired four eyes in four patients with impending perforation using a vascular periosteal-temporalis fascia pedicle flap continuous to the periorbita of the orbital wall. Two eyes with extruding keratoprostheses, one eye with severe ocular surface dysfunction and a perforated, infected keratoplasty, and one eye with scleral ectasia were successfully reconstructed. Excellent visual acuity (20/25) was attained in one eye and functional visual acuity (20/100) was maintained in another. Structural integrity was maintained in all eyes. A vascularized flap was an excellent source of tissue for reconstructing eyes with impending perforation and scleral melting.
authors.affiliation: Kresge Eye Institute, Department of Ophthalmology, Wayne State University School of Medicine, Detroit, Michigan 48201.
authors.forename: T C
authors.initials: TC
authors.lastname: Spoor
authors.forename: J M
authors.initials: JM
authors.lastname: Ramocki
authors.forename: J W
authors.initials: JW
authors.lastname: Cowden
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016039:Corneal Transplantation; D005126:Eye Burns / Q000139:chemically induced; D005128:Eye Diseases / Q000209:etiology / Q000601:surgery*; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D008297:Male; D011475:Prosthesis Failure; D012591:Scleral Buckling; D015422:Scleral Diseases / Q000601:surgery; D013524:Surgical Flaps; D014792:Visual Acuity