Treatment of Scleromalacia with Scleral Autograft

Young Jin Song; Seung Il Jung; Ji Won Kwon

doi:10.3341/jkos.2014.55.11.1706

Journal List > J Korean Ophthalmol Soc > v.55(11) > 1009845

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Song, Jung, and Kwon: Treatment of Scleromalacia with Scleral Autograft

Case Report

J Korean Ophthalmol Soc 2014;55(11):1706-1709.

Published online: 2 September 2014

DOI: https://doi.org/10.3341/jkos.2014.55.11.1706

Treatment of Scleromalacia with Scleral Autograft

Young Jin Song, MD, Seung Il Jung, MD, Ji Won Kwon, MD, PhD

Department of Ophthalmology, Myongji Hospital, Goyang, Korea

Address reprint requests to Ji Won Kwon, MD, PhD, Department of Ophthalmology, Myongji Hospital, #55 Hwasu-ro 14beon-gil, Deogyang-gu, Goyang 412-826, Korea, Tel: 82-31-810-6250, Fax: 82-31-810-5109, E-mail: eyeminerva@naver.com

Received 27 June 2014 Revised 25 July 2014 Accepted 3 October 2014

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 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.

Keywords: Cosmetic eye whitening conjunctivectomy, Scleral autograft, Scleromalacia

References

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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.

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.

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