Gundersen flap

Abstract: Purpose To evaluate the feasibility of fibrin glue in Gundersen flap surgery. Design Prospective case series. Study subjects Seven eyes of seven subjects who had undergone Gundersen flap surgery from 2009 to 2011 at the Singapore National Eye Centre, Singapore. Methods Review of case records for outcomes after Gundersen flap surgery. Main outcome measures Surgical success was defined as achieving a stable ocular surface. Complications to be noted included flap retraction or exposure of underlying corneal surface. Results Surgical success was achieved in all eyes with significant reduction in ocular surface inflammation. No retractions were noted and recovery was uncomplicated. Conclusion Fibrin glue application is a viable alternative to sutures in Gundersen flap surgery. It reduces surgical downtime, gives faster ocular surface rehabilitation, and offers similar outcomes to conventional conjunctival flap surgery.

Abstract: A case of acrocephalosyndactyly in a 63-year-old woman is reported. The intelligence, sex, and racial distribution, hereditary tendency, and chromosomal analysis of acrocephalosyndactyly is discussed. Ocular complications of this syndrome were noted to be mainly optic atrophy, exophthalmos, and strabismus. Keratoconus, which was found in this patient is uncommon. The patient had a mycotic ulcer of the cornea which was successfully treated with a Gundersen flap.

Abstract: To describe a new surgical technique as a modification of the Gundersen flap procedure. A retrospective evaluation of surgical outcomes of 10 patients with various ocular surface disorders which had two vertical bi-pedicel conjunctival flaps in order to cover the surface totally. 10 eyes of 10 patients' (4 females and 6 males) with age between 41-96 years old (mean 68.5 years) treated with modified conjunctival flap. Follow-up 8-38 months (mean 23 months). Only one patient developed flap retraction, no other complications reported during the follow-up period. Conjunctival flap is one of the surgical options to treat chronic corneal surface disorders. It can be partial or total, both techniques associated with several complications including flap retraction. This new modification may be a good alternative to minimize these complications.