Timing of fornix reconstruction for postoperative conjunctival prolapse.

BACKGROUND AND OBJECTIVE

To describe fornix reconstruction for conjunctival prolapse occurring after ocular surgery.

MATERIALS AND METHODS

Two patients with persistent conjunctival prolapse of variable duration following ocular surgery underwent fornix reconstruction using the method described by Barrett. The two patients underwent different surgical methods. In the second patient, no attempt was made to include the malar periosteum.

RESULTS

Case 1 with longer duration of prolapse needed further surgery to excise residual prolapsing conjunctiva that had hyperplastic squamous epithelium. Case 2 in which fornix reconstruction was done 2 months after prolapse showed a good result after only one surgical operation.

CONCLUSION

Forniceal reconstruction is recommended for persistent postoperative conjunctival prolapse. Early surgery appears to have better results.