Abstract:

Objective      To evaluate the therapeutic outcome of conjunctival flap surgery on refractory corneal ulcer. Methods      A retrospective analysis was done on the 27cases (27eyes) of intractable infectious corneal ulcer who underwent conjunctival flap surgery combined with medication between January 2004 and December 2009. There were 16 fungal and 11 viral corneal ulcers all characterized by failed treatment and persistent medical course. Results      26 eyes were cured after one surgery and the other one eye received repeated processure combined with tarsorrhaphy. The ulcer in 27 patients healed and the eyeballs were preserved. Conclusion      Conjunctival flap surgery is effective for refractory infectious corneal ulcer incurable to medication. This surgery can contain infection, promote cicatrization, prevent the corneal perforation, preserve the eyeball and make further treatment possible.

Key words: Corneal ulcer； Conjunctival flap