Pterygium is a frequent conjunctival abnormality in outdoor workers. Genetic background factors are involved. In this study, the authors report their experience in utilizing a rotatory conjunctival flap (RCF) under local anesthesia. A retrospective analysis was conducted of all patients undergoing the proposed technique by one surgeon from 2010 to 2016. Preoperative and postoperative photographs at the longest follow-up visit were used for analysis. A total of 76 patients underwent RCF in an office setting. The average follow-up time was 9 months (range, 6 months to 4 years). All patients were satisfied with the result. One patient required a conjunctival granuloma excision. Additional advantages include the ease of operation, cost, conjunctival preservation for glaucoma filtering surgery, and a short execution time.

An eye patch is usually used for occlusion therapy to prevent amblyopia [1] or as an eye pad dressing for neurotrophic keratopathy amid other therapeutical care [2], lagophthalmos [3], to protect the eye after an open trauma or after the removal of a foreign body embedded in the cornea, to avoid diplopia in temporary extraocular muscle palsy [4,5]. OpticludeR is one of the best known.

The ideal method for the reparation of facial lesionsis not always obvious. Many times surgeons perform flaps or grafts when secondary healing or granulation in the facial area is a more suitable option. In this article, the authors establish the main guidelines for use of this surgical option based on forty years of experience.

Volume 3 -Issue 3 months, there were no further complications (Figure 1).The authors have been unable to find any references to link retinal bands and trans-conjunctival blepharoplasty [5]. Discussion and ConclusionOne possible explanation for the patient's complaint is that no matter how meticulous the joining of the borders of the incision are in this delicate conjunctival suture, this fragile membrane experiences a mild traction; therefore, if the ends of the suture on the silicone band are not hidden between its extremes, there is a strong possibility that

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