A simple method of conjunctival dissection for Gunderson flaps.
In this study we describe a method for simplifying the often frustrating and time-consuming task of dissecting conjunctiva from underlying Tenon's capsule during Gunderson flap procedures. Using gentian violet marks as a guide, a needle and two pairs of scissors are used in series to separate superior bulbar conjunctiva from the superficial layers of Tenon's capsule along a series of semimeridians. The techniques provides the surgeon with important landmarks, reduces the risk of inadvertent buttonholing, and minimizes conjunctival retraction caused by uneven dissection of Tenon's capsule.[1]References
- A simple method of conjunctival dissection for Gunderson flaps. Maguire, L.J., Shearer, D.R. Arch. Ophthalmol. (1991) [Pubmed]
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