{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,2]],"date-time":"2022-04-02T04:39:27Z","timestamp":1648874367516},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background The coverage of chronic and painful corneal defects with a\n\t\t\t\t\tcomplete or partial conjunctival flap is a surgical practice that is still\n\t\t\t\t\tapplied to advanced stage of keratopathies, which insist despite repeated\n\t\t\t\t\ttreatments with a therapeutic contact lens, corneal transplantation or amniotic\n\t\t\t\t\tmembrane transplantation.<\/jats:p><jats:p>\n          Material and Methods 37 cases of refractory corneal defects were treated\n\t\t\t\t\tbetween January 2006 and December 2019 with conjunctival flap. 27 cases\n\t\t\t\t\tunderwent a complete and 10 cases a partial conjunctival flap. The mean age of\n\t\t\t\t\tthe patients (n\u2009=\u200937, 23 women and 14 men subjects) was 73\u00a0years (23\u200a\u2013\u200a87\n\t\t\t\t\tyears). Unsuccessful efforts of intensive conservative treatment and repetitive\n\t\t\t\t\tsurgical procedures for several weeks or even months ended up to the indication\n\t\t\t\t\tof performance of a conjunctival flap. Conjunctival flap was performed using the\n\t\t\t\t\tGundersen technique. A very thin flap of the upper bulbar conjunctiva is\n\t\t\t\t\tdissected downward towards the limbus without creating buttonholes. When the\n\t\t\t\t\tlimbus is reached, the resultant flap is freed and without tension it is pulled\n\t\t\t\t\tover the corneal defect and sutured with nylon sutures placed at the limbus\n\t\t\t\t\t(complete conjunctival flap) or at the stroma of healthy cornea (partial\n\t\t\t\t\tconjunctival flap).<\/jats:p><jats:p>\n          Results This kind of conjunctival flap has low rates of complication. The\n\t\t\t\t\tpostoperative follow-up after the partial or complete conjunctival flap was\n\t\t\t\t\tsatisfying in 34 cases and showed a good healing process without major\n\t\t\t\t\tcomplications. Partial conjunctival flap shrinkage was observed in 3 cases,\n\t\t\t\t\twhich could be revised in 2 of them. One case underwent enucleation, because of\n\t\t\t\t\trecurrent severe keratopathy.<\/jats:p><jats:p>\n          Conclusion Conjunctival flap is an established surgical procedure that is\n\t\t\t\t\tapplied rarely. The more frequent performance of this technique is suggested as\n\t\t\t\t\tit consists the ultima ratio for the treatment of refractory neurotrophic\n\t\t\t\t\tkeratitis and non-healing epithelial defects.<\/jats:p>","DOI":"10.1055\/a-1250-8309","type":"journal-article","created":{"date-parts":[[2020,11,18]],"date-time":"2020-11-18T05:22:54Z","timestamp":1605676974000},"page":"73-78","source":"Crossref","is-referenced-by-count":0,"title":["Treatment of Chronic and Painful Corneal Defects with a\n\t\t\t\t\tComplete or Partial Conjunctival Flap"],"prefix":"10.1055","volume":"239","author":[{"given":"Markus","family":"Kohlhaas","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, St.-Johannes-Hospital, Dortmund,\n\t\t\t\t\tDeutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Perdikakis","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, St.-Johannes-Hospital, Dortmund,\n\t\t\t\t\tDeutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vastardis","family":"Iraklis","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, St.-Johannes-Hospital, Dortmund,\n\t\t\t\t\tDeutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00fcrol","family":"G\u00f6kel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, St.-Johannes-Hospital, Dortmund,\n\t\t\t\t\tDeutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carsten","family":"Avermann","sequence":"additional","affiliation":[{"name":"Kontaktlinsen Fachinstitut, Avermann Contactlinsen, Dortmund,\n\t\t\t\t\tDeutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Fili","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, St.-Johannes-Hospital, Dortmund,\n\t\t\t\t\tDeutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,11,17]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1001\/archopht.1958.00940080900008","article-title":"Conjunctival flaps in the treatment of corneal disease with reference to a new\n\t\t\t\t\ttechnique of application","volume":"60","author":"T Gundersen","year":"1958","journal-title":"AMA Arch Ophthalmol"},{"key":"ref2","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-642-72939-3","volume-title":"Augen\u00e4rztliche Operationen Teil 1","author":"G Mackensen","year":"1988"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1055\/a-0972-4644","article-title":"Sterile Keratitis","volume":"236","author":"E M Messmer","year":"2019","journal-title":"Klin Monbl 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Alino","year":"1998","journal-title":"Ophthalmology"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1250-8309.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T06:10:59Z","timestamp":1644214259000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1250-8309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,17]]},"references-count":12,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2022,2,4]]},"published-print":{"date-parts":[[2022,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1250-8309","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"value":"0023-2165","type":"print"},{"value":"1439-3999","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,17]]}}}