RT Journal Article
SR Electronic
T1 Treatment of peripheral corneal ulcers by limlial conjunctivectomy.
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 713
OP 719
DO 10.1136/bjo.60.10.713
VO 60
IS 10
A1 F M Wilson, 2nd
A1 M Grayson
A1 F D Ellis
YR 1976
UL http://bjo.bmj.com/content/60/10/713.abstract
AB We report the rapid healing of several cases of marginal corneal ulceration of various aetiologies after the excision of a 4 to 7 mm strip of adjacent limbal conjunctiva. After conjunctivectomy the remaining conjunctiva was loosely recessed (without sutures). In one case with coexisting scleromalacia, we excised strips of adjacent bulbar conjunctiva with equally good results. Some of the cases had failed to respond to other modes of treatment including topical collagenase inhibitors. One case responded to peritomy and cryotherapy to the ulcer edges, but we have abandoned this treatment in favour of conjunctival excision. Limbal conjunctivectomy with recession is presumed to act by eliminating conjunctival sources of collagenase and proteoglycanase.