J Korean Ophthalmol Soc.  2004 Feb;45(2):180-186.

Autogenous Temporalis Fascia Grafting and Conjunctival Flap Transposition in Scleromalacia after Pterygium Excision

Affiliations
  • 1Department of Ophthalmology, Wallace Memorial Baptist Hospital, Namsan-dong, Kumjung-gu, Pusan, Korea. oph@wmbh.co.kr

Abstract

PURPOSE
To evaluate the result and complications of autogenous temporalis fascia grafting and conjunctival flap transposition as a treatment of scleromalacia after pterygium excision. METHODS: We used autogenous temporalis fascia and conjunctival flap to treat scleromalacia of 9 patients(9 eyes) who underwent pterygium excision and checked the postoperative result and complications. RESULTS: We could keep the temporalis fascia graft without necrosis during follow-up examination. Pain, inflammation and scleral discoloration were disappeared after temporalis fascia grafting in all cases. Postoperative complications were included 2 cases of progression of cataract and 1 case of mild chamber inflammation. CONCLUSIONS: We obtained good surgical result of scleromalacia after pterygium excision by autogenous temporalis fascia grafting with conjunctival flap transposition.

Keyword

Autogenous temporalis fascia grafting; Conjunctival flap transposition; Scleromalacia

MeSH Terms

Cataract
Fascia*
Follow-Up Studies
Inflammation
Necrosis
Postoperative Complications
Pterygium*
Transplants*
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