Temporalis Fascia Grafting in Scleral Necrosis after Pterygium Excision.

Shon, Tae Su; Kim, Hyo Myung; Jung, Hai Ryun

Original Article

Journal of the Korean Ophthalmological Society 1992;33(11):1054-1059.
Published online November 1, 1992.

Temporalis Fascia Grafting in Scleral Necrosis after Pterygium Excision.

Tae Su Shon, Hyo Myung Kim, Hai Ryun Jung

Department of Ophthalmology, College of Medicine, Korea University, Korea.

자가측두근막편을 사용한 공막이식술

손태수(Tae Su Shon),김효명(Hyo Myung Kim),정해륜(Hai Ryun Jung)

Abstract

We performed scleral grafting with autogenous temporalis fascia and autogenous conjunctiva in 32 patients (32 eyes) in scleral necrosis after pterygium excision. The average age of patients was 54.3 years (range, 38 to 74 years). Nine of them were male and twenty-three were female. The intervals between pterygium excision and scleral necrosis were from 2 months to 23 years (mean, 6.2 years). After the mean follow-up 6.6 months, in 29 eyes graft was stably adhered but in three eyes graft was melted. Conjunctival wound dehiscence and conjunctival necrosis were noticed in three eyes and one eye respectively. There were no cases showing significant difference between the preoperative and the postoperative visual acuity and intraocular pressure. Autogenous temporalis fascia appears to be a good alternative to homologous sclera for scleral reinforcement.

Key Words: Pterygium excision;Scleral necrosis;Temporalis fascia graft