Τίτλος:
Treatment of Progressive Scleromalacia Perforans by Tectonic Enhancement With Lyophilized Equine Pericardium
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
PURPOSE: To describe the off-label use of lyophilized equine pericardium for tectonic enhancement of the sclera in a case of progressive scleromalacia perforans. METHODS: An 82-year-old woman with a history of varicella zoster virus sclerokeratitis presented with a progressively expanding scleral thinning at the superonasal quadrant of the anterior sclera of her left eye. The eye was blind because of intractable glaucoma. To avoid perforation of the exposed choroid, a single layer of lyophilized equine pericardium was sutured over the scleral perforation. After performing a conjunctival peritomy in the involved superonasal area, the pericardium was trimmed, fixated on the anterior sclera with 4 Nylon 9 to 0 interrupted sutures, and tucked underneath the conjunctival pocket. The conjunctiva was adapted with 6 Vicryl 8 to 0 interrupted sutures. RESULTS: The postoperative course was uneventful. At 12 months after surgery, slit-lamp biomicroscopy showed a stable subconjunctival sheet covering the staphyloma, whereas anterior segment optical coherence tomography demonstrated thickening of the ocular wall, suggesting successful integration of the pericardium. CONCLUSIONS: Suturing of equine pericardium over a scleral defect was feasible allowing successful reinforcement of the staphyloma in a case of severe scleromalacia perforans. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
Συγγραφείς:
Droutsas, K.
Giachos, I.
Katsiampoula, V.
Kourti, P.
Kymionis, G.
Petrou, P.
Περιοδικό:
Cornea : The Journal of Cornea and External Disease
Λέξεις-κλειδιά:
animal; case report; diagnostic imaging; eye surgery; female; horse; human; optical coherence tomography; pericardium; scleritis; slit lamp microscopy; suture technique; transplantation; very elderly; wound healing; xenograft, Aged, 80 and over; Animals; Female; Horses; Humans; Ophthalmologic Surgical Procedures; Pericardium; Scleritis; Slit Lamp Microscopy; Suture Techniques; Tomography, Optical Coherence; Transplantation, Heterologous; Wound Healing
DOI:
10.1097/ICO.0000000000002465
