Journal List > J Korean Ophthalmol Soc > v.49(10) > 1008114

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Yoon Song, Seok Im, and Young Kwak: Acellular Dermal Allograft Transplantation in Patients with Scleromalacia After Pterygium Excision
Original Article

J Korean Ophthalmol Soc 2008;49(10):1685-1689.

Published online: 7 September 2008

DOI: https://doi.org/10.3341/jkos.2008.49.10.1685

Acellular Dermal Allograft Transplantation in Patients with Scleromalacia After Pterygium Excision

Hae Yoon Song, M.D, Jae Seok Im, M.D, Ju Young Kwak, M.D

Department of Ophthalmology, Wallace Memorial Baptist Hospital, Pusan, Korea

Address reprint requests to Ju Young Kwak, M.D. Department of Ophthalmology, Wallace Memorial Baptist Hospital #374-75 Namsan-dong, Kumjung-gu, Pusan 609-340, Korea Tel: 82-51-580-1359, Fax: 82-51-512-1354, E-mail: oph@wmbh.co.kr

Received 19 August 2008       Accepted 13 June 2008

Copyright © 2008 Korean Ophthalmological Society

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To report two cases of successful acellular dermal allograft transplantation for scleromalacia following pterygium excision.

Case summary

A 72-year-old female patient developed scleromalacia on the nasal side of the right eye, and a 79-year-old female patient developed scleromalacia with inflammation on the nasal side of the left eye. They had previous histories of pterigia removal on the sites of scleromalacia. Acellular dermal allograft (AlloDerm®, Lifecell, NJ, USA) transplantations were done. After the operations, inflammation and pain ameliorated and the grafts survived without any particular complications.

Conclusions

In treating scleromalacia, the transplantation of acellular dermal allografts produced relatively satisfactory results without undesirable problems commonly encountered when using conventional materials. J Korean Ophthalmol Soc 2008;49(10):1685-1689

Keywords: AlloDerm®, Scleromalacia

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Figure 1.
(A) Five days after scleral reinforcement with acellular dermal allograft. (B) Three months after acellular dermal allograft transplantation, showing good vascularization and stable ocular surface
jkos-49-1685f1.tif
Figure 2.
Preoperative photograph shows scleral necrosis with calcific plaque in the area of previous pterygium excision.
jkos-49-1685f2.tif
Figure 3.
(A) Three days after scleral reinforcement with acellular dermal allograft. (B) One month after acellular dermal allograft transplantation with amniotic membrane transplantation, showing epithelial covering.
jkos-49-1685f3.tif
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