Repositioning of pedicle conjunctival flap performed for refractory corneal ulcer

ABSTRACT

A 50-year-old male was referred with a previous history of conjunctival flap [CF] for a nonhealing fungal corneal ulcer with extreme corneal thinning in the right eye. The peritomy for the CF extended from 630 to 9-30 clock h on the cornea. The CF was disengaged, peritomy area deepithelialized, and CF was repositioned. He later underwent penetrating keratoplasty and achieved 20/40 best corrected visual acuity. The authors present a new concept for surgically repositioning CF s to the original site immediately after healing of the corneal ulcer