Finger’s Continuous Bipedicle Conjunctival Flap
July 24, 2025: Conjunctival surgery can create defects that require tissue replacement. This article describes a new eye surgery technique using a “bucket-handle” bipedicle conjunctival flap to treat serious corneal damage.
A 28-year-old patient developed severe tissue growth over most of his left cornea, causing vision problems without any clear cause like trauma or infection. Doctors removed the abnormal tissue and used the patient’s own upper eye tissue to create a continuous, vascularized flap that protects the eye and helps healing. This technique maintained some vision by exposing part of the cornea, unlike other methods that would block sight or risk instability.
The surgery successfully reconstructed the eye surface, reduced the chance of tumor regrowth, and preserved some vision, showing promise for similar future cases.
A 28-year-old patient developed severe tissue growth over most of his left cornea, causing vision problems without any clear cause like trauma or infection. Doctors removed the abnormal tissue and used the patient’s own upper eye tissue to create a continuous, vascularized flap that protects the eye and helps healing. This technique maintained some vision by exposing part of the cornea, unlike other methods that would block sight or risk instability.
The surgery successfully reconstructed the eye surface, reduced the chance of tumor regrowth, and preserved some vision, showing promise for similar future cases.
(Figure 1). The graft healed in position over the next 6 months (Figure 2). Though the cornea improved, the patient's last measured visual acuity remained 20/63.
READ THE FULL ARTICLE HERE: https://www.sciencedirect.com/science/article/pii/S2451993625001471
