Archivos de la Sociedad Espanola de Oftalmologia · 2001
[Technique of inverse scleral flap in the treatment of peripheral corneal defects (Abreu and Delgado technique)].
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Abreu Reyes P, Delgado Miranda J L, Herrera Piñero R, Pérez-Silguero M A
Аннотация
PURPOSE: To present a new easy-to-perform technique for the treatment of peripheral corneal defects (perforation or significant thinning), which has had good results.
METHODS: This technique, which consists in sliding and suturing a limbal based inverted scleral flap (similar to the scleral flap used in glaucoma surgery) over the affected peripheral cornea, is described. We present 7 cases: one dellen, two marginal ulcers, two perforating traumatisms, one descematocele and one case of corneal thinning after pterygium surgery.
RESULTS: All 7 cases were satisfactorily resolved without modifying either the astigmatism or visual acuity.
CONCLUSIONS: This is an easy-to-perform technique which offers good results and although it has some limitations, it can be recommended for the treatment of many peripheral corneal defects (perforations and significant thinning).
METHODS: This technique, which consists in sliding and suturing a limbal based inverted scleral flap (similar to the scleral flap used in glaucoma surgery) over the affected peripheral cornea, is described. We present 7 cases: one dellen, two marginal ulcers, two perforating traumatisms, one descematocele and one case of corneal thinning after pterygium surgery.
RESULTS: All 7 cases were satisfactorily resolved without modifying either the astigmatism or visual acuity.
CONCLUSIONS: This is an easy-to-perform technique which offers good results and although it has some limitations, it can be recommended for the treatment of many peripheral corneal defects (perforations and significant thinning).