What is the appropriate treatment for a descemetocele?

A descemetocele is a serious condition involving the cornea that occurs when the corneal epithelium and stroma are significantly eroded, leading to exposure of the Descemet's membrane. This condition puts the eye at risk for perforation and can result in severe complications, including loss of sight if untreated.

The appropriate treatment involves protecting the eye and promoting healing. Conjunctival flap surgery serves as an effective intervention for descemetoceles. This surgical procedure involves mobilizing a flap of conjunctival tissue to cover the affected area of the cornea. The conjunctival flap not only provides a protective barrier but also supplies nutrients and facilitates healing through its vascularized tissue. This method has been shown to successfully prevent corneal perforation and aids in the recovery of the cornea.

Other treatment methods may not adequately address the underlying issue of corneal integrity and protection. For instance, while topical antibiotics and antimicrobial eye drops are important in managing secondary infections, they do not provide the necessary structural support that a conjunctival flap does. Oral corticosteroids could potentially worsen the situation by suppressing the immune response, making the condition more susceptible to infection. Thus, the surgical approach of a conjunctival flap is deemed the most appropriate course of