Anterior segment reconstruction following trauma.

In summary, this discussion reiterates the basic principles and techniques of reconstructive surgery following severe anterior segment trauma. Clearly, visual rehabilitation is a direct concomitant of anatomical restoration. Thus, definitive efforts to remove and replace damaged ocular surface tissue, as by conjunctival transplantation or pannus stripping, followed by penetrating keratoplasty with particular attention to restoration of iris and angle structures are well within the capability of anterior segment surgeons. Given the remarkable plasticity of ocular anterior segment tissues, particularly conjunctiva and iris, the straight forward application of these techniques can frequently yield both aesthetically satisfying and visually satisfactory results.