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Treatment of refractory exposure keratitis with modified medial tarsorrhaphy using tarsoconjunctival flap

Authors
 Sun Young Jang ; Jin Sook Yoon 
Citation
 Graefes Archive for Clinical and Experimental Ophthalmology, Vol.251(5) : 1369~1372, 2013 
Journal Title
 Graefes Archive for Clinical and Experimental Ophthalmology 
ISSN
 0721-832X 
Issue Date
2013
Abstract
BACKGROUND: This study reports the surgical technique of modified medial tarsorrhaphy using tarsoconjunctival advancement flap for treatment of exposure keratitis secondary to incomplete lid closure combined with ocular dysmotility or decreased corneal sensation. METHODS: Three patients suffered from intractable exposure keratitis due to incomplete lid closure with ocular motility limitation or decreased corneal sensation, even after the lateral tightening procedure. Because they did not want a cosmetically unacceptable appearance by permanent tarsorrhaphy, modified medial tarsorrhaphy using tarsoconjunctival advancement flap was performed. Clinical manifestation and surgical outcome were investigated through retrospective chart review. RESULTS: The minimum follow-up period was 10 months. All patients showed successful surgical results. Ocular symptoms were satisfactorily treated, corneal re-epithelialization was achieved and maintained during the follow-up period, lagophthalmos improved, and all patients were satisfied with their appearance. CONCLUSIONS: We describe modified medial tarsorrhaphy with tarsoconjunctival advancement flap which was effective in treatment of severe exposure keratitis with incomplete lid closure in patients who elected not to have cosmetically problematic, permanent corrective surgery.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/87527
DOI
10.1007/s00417-012-2238-7
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Ophthalmology
Yonsei Authors
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Link
 http://link.springer.com/article/10.1007%2Fs00417-012-2238-7
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