Posters

Equine pericardium patching in a case of progressive choroidal staphyloma

Poster Details

First Author: P.Kourti GREECE

Co Author(s): D. Alexiadou   V. Katsiampoula   K. Droutsas              

Abstract Details

Purpose:

To describe the use of equine pericardium for tectonic enhancement of the sclera in a case of progressive anterior choroidal staphyloma.

Setting:

Cornea service of a tertiary academic center

Methods:

An 82-year-old woman presented with a progressive anterior choroidal staphyloma following recurrent VZV sclerokeratitis. Due to extreme thinning and impending perforation, a single layer of equine pericardium was sutured to cover the staphyloma in order to ensure globe integrity. After performing a peritomy in the involved superonasal area, the pericardium was trimmed, fixated on the anterior sclera with 4 Nylon 9-0 interrupted sutures and tucked underneath the conjunctival pocket. The conjunctiva was adapted with 6 Vicryl 8-0 interrupted sutures. Photographs were taken before, during and after surgery.

Results:

The postoperative course was uneventful. Slitlamp biomicroscopy showed a stable subconjunctival sheet covering the staphyloma, while anterior segment optical coherence tomography demonstrated thickening of the ocular wall suggesting successful integration of the pericardium.

Conclusions:

Herein, suturing of equine pericardium over a choroidal staphyloma was feasible and allowed reinforcement of an extremely thin sclera in a case of severe anterior choroidal staphyloma.

Financial Disclosure:

None