Hughes L, Saxby E, Wright M. Tarsoconjunctival 'Hughes' flap for repair of globe perforation: A modified technique in the management of severe scleral necrosis.
Eur J Ophthalmol 2021;
32:NP60-NP63. [PMID:
33765845 DOI:
10.1177/11206721211004401]
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Abstract
We report an unusual case of scleral and lid necrosis from suspected self-harm and the management of the resultant scleral perforation with a tarsoconjunctival 'Hughes' flap. To our knowledge, no previous literature describes such a technique in the repair of toxic scleral melts. Our case describes an alternative use for a Hughes flap in providing tectonic support and helping to restore the integrity of the globe in a complex case where conventional methods of 'patching' had failed.
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