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August 1991

A Simple Method of Conjunctival Dissection for Gunderson Flaps

Author Affiliations

From the Department of Ophthalmology, Mayo Clinic, Rochester, Minn. Dr Shearer is now in private practice in Marquette, Mich.

Arch Ophthalmol. 1991;109(8):1168-1169. doi:10.1001/archopht.1991.01080080130046

• In this study we describe a method for simplifying the often frustrating and time-consuming task of dissecting conjunctiva from underlying Tenon's capsule during Gunderson flap procedures. Using gentian violet marks as a guide, a needle and two pairs of scissors are used in series to separate superior bulbar conjunctiva from the superficial layers of Tenon's capsule along a series of semimeridians. The technique provides the surgeon with important landmarks, reduces the risk of inadvertent buttonholing, and minimizes conjunctival retraction caused by uneven dissection of Tenon's capsule.

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