J Korean Ophthalmol Soc.  2014 Nov;55(11):1706-1709. 10.3341/jkos.2014.55.11.1706.

Treatment of Scleromalacia with Scleral Autograft

• Song YJ
• Jung SI
• Kwon JW

• KMID: 2216622
• DOI: http://doi.org/10.3341/jkos.2014.55.11.1706

Abstract

PURPOSE
To report a case of a patient who developed scleromalacia after cosmetic eye whitening conjunctivectomy and treated with scleral and conjunctival autograft.
CASE SUMMARY
A 42-year-old male patient who received cosmetic eye whitening conjunctivectomy in both eyes on the nasal side in 2008 developed scleromalacia in the left eye. Calcium deposits and deformed conjunctiva were removed from the left eye. Autogenous sclera and conjunctiva were obtained from the upper side of the left eye and autogenous graft was performed. Topical antibiotics, topical steroid, topical autologous serum, and antibiotic ointment were applied postoperatively. The patient was given oral steroid for 1 month after surgery. During the postoperative 6 months, the grafted autogenous sclera was well maintained and improved cosmetically.
CONCLUSIONS
In cases of scleromalacia occurring after cosmetic eye whitening conjunctivectomy, autogenous sclera can be considered as a treatment filler.

Keyword

Cosmetic eye whitening conjunctivectomy; Scleral autograft; Scleromalacia

MeSH Terms

Adult
Anti-Bacterial Agents
Autografts*
Calcium
Conjunctiva
Humans
Male
Sclera
Transplants
Anti-Bacterial Agents
Calcium

Figure

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  Figure 1. (A) Slit-lamp photographs of left eye show the thinned bare, avascular sclera, and (B) fluorescence stained lesion. White calcified plaque was noted on the nasal bulbar conjunctiva.

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  Figure 2. (A, B) Slit-lamp photographs of patient undergoing free conjunctival autograft with autogenous scleral graft for restoration of scleromalacia. Six months after surgery, scleral graft was well maintained and cosmetically improved.

Reference

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