The Conjunctival Turnover: A Simple and Effective Method for Sclero-Corneal Protection in Pre-Septal Transconjunctival Approach to the Orbital Floor

Cureus. 2021 Oct 19;13(10):e18884. doi: 10.7759/cureus.18884. eCollection 2021 Oct.

Abstract

Transconjunctival approaches have become the mainstay for most surgeons performing orbital wall reconstructions. Adequate care needs to be exercised for the protection of the cornea and sclera during these surgeries as they may involve placement of grafts or implants in situ apart from the routine intra-orbital dissections. The authors describe a simple technique of developing a conjunctival turnover flap for sclero-corneal protection in transconjunctival approaches to the orbit.

Keywords: complications in orbital surgery; corneal abrasion; corneal protection; corneal shield; sclera-corneal protection.