Resection of conjunctival keratoderma

The skin swelling is formed during the process of embryonic cleavage closure, in which the epidermis and its attachments are embedded. Skin swelling has already existed at birth, but it is small, slow progress in childhood, rapid growth in puberty, and can be associated with other malformations, such as eyelid defects and iris, choroidal defect, small eyeball, scleral expansion, etc. Malformations other than the eye, such as the ear attachments and congenital deafness, constitute the Goldenher syndrome, the first arm arch syndrome; and the face, mandibular osteogenesis imperfecta, eyelid defect, inter-oral intercondylar and ear malformation Accompanied by the so-called Franceschetti syndrome. The conjunctival keratoderma is a part of the cornea, and the other part is in the conjunctiva, mostly in the outer lower quadrant. Zimmerman believes that this skin-like swelling is a solid type consisting of collagen tissue covered by a stratified epithelium that secretes keratin and also contains hair follicles and sebaceous glands. Because of the expanding tendency of these cysts, surgery should be performed as soon as possible. Treatment of diseases: conjunctivitis Indication Conjunctival keratoconus resection is suitable for: 1. Affect vision. 2. Affect the appearance. 3. Patient and family requirements. Surgical procedure 1. Under the operating microscope, cut from the normal cornea and the skin-like swelling, slightly cut off the corneal side, and continue to cut forward and separate. 2. Completely remove the entire skin from the cornea, limbus, conjunctiva and superficial sclera. 3. The residual conjunctiva is fixed on the superficial sclera, and the cornea and sclera wounds are exposed. 4. Ball-side injection of gentamicin 20,000 U, dexamethasone 2.5 mg plus 2% procaine 0.3 ml, drip conjunctival drip compound honey eye drops, 1% atropine and antibiotic eye ointment.