Journal of the Korean Ophthalmological Society 2004;45(2):180-186.
Published online February 1, 2004.
Autogenous Temporalis Fascia Grafting and Conjunctival Flap Transposition in Scleromalacia after Pterygium Excision.
Ju Young Kwak, Han Ki Chang
Department of Ophthalmology, Wallace Memorial Baptist Hospital, Namsan-dong, Kumjung-gu, Pusan, Korea. oph@wmbh.co.kr
익상편절제술 후 발생한 공막연화증에서 자가측두근막 이식과 결막판 피복술
곽주영 ( Gwag Ju Yeong ) , 장한기 ( Jang Han Gi )
Abstract
PURPOSE
To evaluate the result and complications of autogenous temporalis fascia grafting and conjunctival flap transposition as a treatment of scleromalacia after pterygium excision. METHODS: We used autogenous temporalis fascia and conjunctival flap to treat scleromalacia of 9 patients(9 eyes) who underwent pterygium excision and checked the postoperative result and complications. RESULTS: We could keep the temporalis fascia graft without necrosis during follow-up examination. Pain, inflammation and scleral discoloration were disappeared after temporalis fascia grafting in all cases. Postoperative complications were included 2 cases of progression of cataract and 1 case of mild chamber inflammation. CONCLUSIONS: We obtained good surgical result of scleromalacia after pterygium excision by autogenous temporalis fascia grafting with conjunctival flap transposition.
Key Words: Autogenous temporalis fascia grafting;Conjunctival flap transposition;Scleromalacia


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