Objective To evaluate the clinical efficacy of conjunctival flap transplantation for the treatment of scleral necrosis after eye burns or ocular surgeries.Methods It was a retrospective case series study.A total of 13 cases of scleral necrosis, including 10 patients with eye burns and 3 cases with post-pterygium excision,received conjunctival flap transplants in Shandong Eye Hospital from January 2007 to March 2012.Four patients received conjunctival flap transplants only,2 patients had combined lamellar keratoplasty (LK),6 patients received combined amniotic membrane transplants (AMT),and 1 patient had combined LK and AMT.The follow-up period ranged from 3 to 24 months after the surgery and during this time scleral necrosis status, conjunctival flap survival, et al,were monitored. Results The transplanted conjunctival flap appeared pale within 1 week after the surgery, and congestion developed after 1 week with conjunctival flap healing. The congestion gradually disappeared when the suture was removed after 2 weeks.The conjunctival flaps hcaled with the sclera and necrosis was controlled in all patients. At the final follow-up evaluation, corneal transparency was observed in 2 patients,clear graft in 3 patients,corneal macula in 1 patient,and corneal vascularization in 7 patients.Conclusion Conjunctival flap transplantation (or combined LK and/or AMT) is a safe and effective method for the clinical treatment of scleral necrosis.This method can prevent the risk of scleral necrosis and perforation and establishes a stable ocular surface for further treatment.