Rotational tarsal conjunctival flap in the treatment of scleral necrosis.

Scleral necrosis and perforation are difficult to manage. We describe a technique whereby a vascular strip of tarsal tissue with overlying conjunctiva can be rotated and sutured to a necrotic area of sclera that has been debrided, leading to rapid healing. The technique is performed easily, and can aid in the healing of areas of necrotic sclera that threaten perforation by providing a vascular pedicle.