J Korean Ophthalmol Soc.  1978 Mar;19(1):55-64.

Scleral grafts fer the Cases of Scleral Perforation, Scleral Ectasia and Scleral Necrosis

• Kim JH
• Lee HB
• Yoon DK

Abstract

Since year of 1969. Authors have experienced five cases of seleral grafts for the repair of focal scleral traumatic defect, traumatic ectasia and necrosis after pterygium operation. The results are as follows: (1) Case 1 (13 aged, male) a large scleral defects after perforating injury of left eye was closed successfully with an onlay technique of scleral iso-graft (10 X 10mm) which was obtained from contralateral multiple ruptured eye. (2) Case 2, and 3 (17 and 23 aged, females) small focal scleral ectasias near the limbus (os) as a late complication of penetrating injuries in both cases were improved completely by electric diathermy and the onlay application of scleral allo-graft which were obtained from eye-bank eyes. (3) Case 4 (60 aged, male) a local small progressing undermined scleral necrosis near the nasal limbus (OD) which is supposed as a late complication (8 yrs later) of pterygium removal and strontium 90 irradiation on the scleral side could be cured successfull by a circular lamellar full-thickness scleral allo-graft (6mm). (4) Case 5 (60 aged, male) a much more advanced scleral necrosis and complicated uveitis (os) developed within 2 months after pterygium removal and Mitomycin C drop instillation was replac ed by a scleral allo-graft. But scleral necrosis and inflammatory processes of other. sctes were spreaded out to superior and temporal scleras within a months and then the eye was finally enucleated. Histo-pathology of an enucleated eye showed a chronic inflammatory reaction with many plasma cells and lymphocytes, occassionally giants cells.

MeSH Terms

Diathermy
Dilatation, Pathologic*
Inlays
Lymphocytes
Mitomycin
Necrosis*
Plasma Cells
Pterygium
Sclera
Strontium
Transplants*
Uveitis
Mitomycin
Strontium