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TRYGVE GUNDERSEN, M.D.

AMA Arch Ophthalmol. 1958;60(5):880-888.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Frequently there comes a time in the course of serious corneal ulceration when medical treatment fails and the ophthalmologist must result to surgery. This is particularly true when the ulceration is of unknown cause or when there is no known specific medical treatment. The first surgical treatment employed is usually either chemical or thermal cauterization, and this is frequently followed by other procedures, such as paracentesis, Saemisch section, delimiting keratotomy, peritomy, and the application of conjunctival flaps. The increasing numbers of indolent herpetic ulcerations, many of which have been adversely influenced by excessive steroid therapy, present a problem of rehabilitation of temporarily disabled persons.

Dissected flaps of conjunctiva offer a valuable means of covering the ulcerated cornea either temporarily or permanently. I shall enumerate the corneal conditions for which they are most useful and shall describe the technique that I have used in applying them to the cornea.

Conjunctival flaps . . . [Full Text PDF of this Article]

Author Affiliations
Boston

Footnotes
Submitted for publication June 10, 1958.

Read before the Section on Ophthalmology at the 107th Annual Meeting of the American Medical Association, San Francisco, June 24, 1958.

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