Treatment of advanced XXXX with deep lamellar keratectomy and conjunctival flap.

@entity1 @entity1034 @entity1036 @entity39 @entity281 @entity158 @entity19415
PURPOSE: To describe whether deep lamellar keratectomy with a conjunctival flap is effective for the treatment of @entity19415 . METHODS: Two @entity1 (three eyes) had at least a 4-week history of @entity158 misdiagnosed as @entity1034 and @entity1036 . Both @entity1 were started on multiple topical antiamoebic drugs after @entity281 was confirmed. No improvement was observed after 3-4 weeks. Surgery was then performed. Peribulbar anesthesia was given, and the infected tissue was removed by deep lamellar keratectomy. A bipediculate conjunctival flap was put in place and secured with interrupted 10-0 nylon sutures. RESULTS: Both @entity1 experienced immediate @entity158 relief. The @entity281 was controlled and all medications were tapered. There were neither @entity39 nor retraction of the flap. Final examination revealed a Best-corrected visual acuity (BCVA) of 20/100 in each eye in the @entity1 described in case number one at 30 months, and 20/100 in the @entity1 described in case number two at 13 months. CONCLUSION: Deep lamellar keratectomy with a conjunctival flap is a suitable approach to help control the @entity281 and to help relieve @entity158 in @entity1 with advanced @entity19415 .
