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A Gundersen flap, also known as Gundersen's flap, Gundersen's conjunctival flap, or conjunctivoplasty, and often misspelled Gunderson, is a surgical procedure for correcting corneal disease. It involves excising a damaged section of cornea, and replacing it with a section (or "flap") of the patient's own conjunctiva .
Conjunctival concretions can be seen easily by everting the eyelid. The projecting concretions can be removed if they are causing concerning symptoms. Removal can be performed by an eye doctor. Sometimes just a needle or a scalpel is used to remove the concretion under local light anesthesia of the conjunctiva in adults.
There are three types of eye removal: [4] Evisceration – removal of the iris, lens, and internal eye contents, but with the sclera and attached extraocular muscles left behind; Enucleation of the eye – removal of the eyeball, but with the eyelids and adjacent structures of the eye socket remaining. An intraocular tumor excision requires an ...
An initial pocket is created under the conjunctiva and Tenon's capsule and the wound bed is treated for several seconds to minutes with mitomycin C (MMC, 0.5–0.2 mg/ml) or 5-fluorouracil (5-FU, 50 mg/ml) soaked sponges. These chemotherapeutics help to prevent failure of the filter bleb from scarring by inhibiting fibroblast proliferation.
An iridocyclectomy is the surgical removal of the iris and the ciliary body. [33] An iridocystectomy is the surgical removal of a portion of the iris to form an artificial pupil. [33] An iridosclerectomy is the surgical removal of a portion of the sclera and a portion of the iris in the region of the limbus for the treatment of glaucoma. [33]
Suture conjunctiva; Insert temporary ocular conformer until prosthesis is received (4–8 weeks later) After implant vascularization, an optional secondary procedure can be done to place a couple peg or post. Also under anesthesia: Create conjunctival incision at the peg insertion site; Create hole into implant to insert peg or post
Ocular evisceration is the removal of the eye's contents, leaving the scleral shell and extraocular muscles intact. [ 1 ] [ 2 ] The procedure is usually performed to reduce pain, improve cosmetic appearance in a blind eye, treat cases of endophthalmitis unresponsive to antibiotics , or in the case of ocular trauma.
A pterygium of the eye (pl.: pterygia or pterygiums, also called surfer's eye) is a pinkish, roughly triangular tissue growth of the conjunctiva onto the cornea of the eye. [2] It typically starts on the cornea near the nose. [3] It may slowly grow but rarely grows so large that it covers the pupil and impairs vision. [2] Often both eyes are ...