Autologous Pericranium Graft for Necrotizing Scleritis.

IF 1.9 3区 医学 Q2 OPHTHALMOLOGY Cornea Pub Date : 2024-12-01 Epub Date: 2024-07-30 DOI:10.1097/ICO.0000000000003643
Sergio Copete, María Antonia Fagúndez-Vargas, Franciso López-Martínez, Almudena Moreno-Martínez, Jose Gregorio García-García, Enrique Júdez, María José Carrilero-Ferrer
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Abstract

Purpose: The purpose of this study was to describe the clinical outcome of scleral staphyloma secondary to necrotizing scleritis treated with autologous pericranial grafting.

Case report: A 63-year-old woman with necrotizing scleritis and choroidal protrusion underwent homologous scleral grafting, which failed. The patient's medical management was optimized for control of her systemic inflammation, and she underwent a second surgery consisting of autologous pericranium grafted to the parietal region. A 3- × 2-cm tissue patch was harvested and sutured over the staphyloma borders with 8/0 polyglactin sutures. Complete re-epithelialization was observed at 3 weeks, the graft was well integrated, and no signs of inflammation were observed at 18 months.

Conclusions: The pericranium offers a viable alternative for scleral thinning because of necrotizing scleritis.

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自体颅骨周围移植治疗坏死性巩膜炎
目的:本研究旨在描述自体巩膜周围移植术治疗坏死性巩膜炎继发的巩膜葡萄肿的临床结果:一名患有坏死性巩膜炎和脉络膜突出的 63 岁女性接受了自体巩膜移植手术,但手术失败。为了控制全身炎症,她接受了第二次手术,将自体巩膜周围组织移植到顶盖区。采集了一块 3 × 2 厘米的组织补片,并用 8/0 聚乳酸缝合线将其缝合在葡萄肿边界上。3 周后观察到完全的再上皮化,移植物很好地融合在一起,18 个月后未观察到炎症迹象:结论:对于因坏死性巩膜炎导致的巩膜变薄,巩膜周围移植是一种可行的替代方法。
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来源期刊
Cornea
Cornea 医学-眼科学
CiteScore
5.20
自引率
10.70%
发文量
354
审稿时长
3-6 weeks
期刊介绍: For corneal specialists and for all general ophthalmologists with an interest in this exciting subspecialty, Cornea brings together the latest clinical and basic research on the cornea and the anterior segment of the eye. Each volume is peer-reviewed by Cornea''s board of world-renowned experts and fully indexed in archival format. Your subscription brings you the latest developments in your field and a growing library of valuable professional references. Sponsored by The Cornea Society which was founded as the Castroviejo Cornea Society in 1975.
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Evaluation of the German Version of the Keratoconus Outcomes Research Questionnaire. Modified Method for Nanothin Descemet Stripping Automated Endothelial Keratoplasty. Pseudopterygia in Fuchs Superficial Marginal Keratitis: Clinical Course and Surgical Outcomes. Baseline Participant Characteristics at Enrollment in the Zoster Eye Disease Study. Cornea Classics: Melles, Ong, Ververs, and van der Wees, "Descemet Membrane Endothelial Keratoplasty (DMEK)" (2006).
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