Surgical Management of Scleral Necrosis.
- Author:
Seong Yeol KIM
1
;
Wha Sun CHUNG
;
Duk Kee HAHN
Author Information
1. Department of Ophthalmology, College of Medicine, Yeungnam University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Conjunctival flap;
Lamellar scleral grafting;
Scleral necrosis
- MeSH:
Absorption;
Endophthalmitis;
Follow-Up Studies;
Freezing;
Inflammation;
Necrosis*;
Postoperative Complications;
Pterygium;
Sclera;
Transplants;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
1995;36(1):7-12
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Scleral necrosis is a focal thinning of the sclera, and causes an exposure of underlying uveal tissue, endophthalmitis, and eyeball perforation. The authors experienced 16 cases of scleral necrosis after pterygium excision and performed combined lamellar scleral grafting and conjunctival flap for 13 cases, and simple conjunctival flap for 3 cases. After 12 months of follow-up period, all of the scleral grafts healed well except one case of graft melting. Six cases associated with endophthalmitis showed three lines of mean visual acuity improvement with Snellen chart after postoperative healing of inflammation. Postoperative complications included temporary corneal erosion(6 cases), conjunctival cyst formation(2 cases), scleral graft melting(1 case), and partial absorption of conjuctival flap(1 case).
