title: Conjunctival pedicle flap in management of open globe injury with corneal tissue loss.
abstract: Accidental injury with scissors led to an open globe injury with iris prolapse and corneal tissue loss in the right eye of a 15-year-old girl. Attempts to suture the laceration normally, led to persistent aqueous leak, and tight suturing was leading to unacceptable distortion of the corneal contour. In the absence of donor tissue or tissue glue, a bulbar conjunctival pedicle flap was used to augment sutures placed without undue tension, and watertight closure of the globe was achieved. Postoperatively, the flap retracted, and excellent tectonic, cosmetic and refractive outcomes were achieved. A conjunctival pedicle flap can be a useful adjunct in the armamentarium of the corneal surgeon while dealing with open globe injuries with corneal tissue loss.
authors.affiliation: Doon Eye Care Centre, Dehradun, Uttarakhand, India.
authors.forename: Nishant
authors.initials: N
authors.lastname: Nawani
authors.affiliation: Cornea and Anterior Segment Service, Maheshwari Eye Care Hospital, Rajkot, Gujarat, India.
authors.forename: Jayesh
authors.initials: J
authors.lastname: Vazirani
authors.affiliation: Cornea and Anterior Segment Service, Nethra Jivan Eye Hospital, Dehradun, Uttarakhand, India.
authors.forename: Hindukush
authors.initials: H
authors.lastname: Ojha
authors.affiliation: Centre for Ocular Regeneration, L V Prasad Eye Institute, Hyderabad, Telangana, India.
authors.forename: Virender S
authors.identifier: http://orcid.org/0000-0002-8229-4158
authors.initials: VS
authors.lastname: Sangwan
mesh_terms: D000293:Adolescent; D003228:Conjunctiva / Q000293:injuries / Q000601:surgery*; D003315:Cornea / Q000601:surgery*; D065306:Corneal Injuries / Q000601:surgery; D015807:Eye Injuries, Penetrating / Q000601:surgery*; D005260:Female; D006801:Humans; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D013524:Surgical Flaps; D013536:Suture Techniques