BACKGROUND The eyelid structure can be divided into an inner layer and an outer layer. Reconstruction of a full-thickness eyelid defect is accomplished by full-thickness composite tissue transfer or combined layered reconstruction. We present a new technique for inner layer reconstruction using ear cartilage and oral mucosa. METHODS The oral mucosa graft is harvested from the inner side of th...

AIM To determine outcomes of bleb excision and conjunctival advancement for leaking or hypotonous eyes after glaucoma filtering surgery. METHODS In a retrospective case series the medical records of all patients who underwent bleb excision and conjunctival advancement surgery for bleb leaks or hypotony (defined as IOP less than 6 mm Hg, associated with reduced vision) at the Jules Stein Eye I...

Based on previous findings that ozone can induce an inflammatory response in the ocular surface of an animal model and in cultured human conjunctival epithelial cells, we investigated whether exposure to ozone exacerbates symptoms of allergic conjunctivitis. We evaluated the effects of exposure to ozone on conjunctival chemosis, conjunctival injection, corneal and conjunctival fluorescein stain...

OBJECTIVES/HYPOTHESIS The objectives of this study were to review traditional techniques for the management of conjunctival melanoma and assess the need for parotidectomy and neck dissection in the management of conjunctival melanoma. STUDY DESIGN Retrospective review. METHODS This study was a retrospective review conducted in a tertiary academic medical center of patients diagnosed with co...

PURPOSE To compare the clinical outcome of pterygium surgery combining intraoperative mitomycin C (MMC) with a free conjunctival autograft, with three other methods of pterygium surgery, including intraoperative MMC alone, conjunctival autograft alone, and bare sclera without adjunctive treatment. DESIGN Interventional, randomized and in part nonrandomized, prospective, comparative study. M...

My guests in this corneal dissection column, John A. Hovanesian, MD, FACS, and Andrew Behesnilian, BS, describe their surgical technique of using amniotic membrane transplantation as a “biologic implant” beneath the normal conjunctiva surrounding the region where the pterygium is excised and replaced with a conjunctival autograft. They said the recurrence rate of 5% after pterygium surgery comb...

To compare the efficacy and safety of sutureless glue-free versus suture technique for autogenous conjunctivolimbal grafting in primary pterygium excision. A prospective observational study was conducted thirty consecutive patients progressive after taking their informed written consent ethical clearance a tertiary eye care centre Northern India. Patients were randomly divided equally into grou...

PURPOSE To validate tissue quality parameters for donor corneas designated for emergency grafting for corneal graft survival. METHODS In a longitudinal cohort follow-up study, 131 emergency penetrating grafts were studied. Grafts were performed with a pool of organ-cultured donor corneas designated for emergency grafting and prepared for immediate use with all safety tests performed. Assignat...

purpose: to report the outcomes of conjunctival-limbal autograft (clau) in patients with unilateral total limbal stem cell deficiency (lscd) emphasizing surgical problems, complications, and their management. methods: in this prospective interventional case series, clau combined with amniotic membrane transplantation as a graft was performed on 26 patients with unilateral total lscd due to chem...