Posters

Long term result of operation for scleromalacia

Poster Details

First Author: W.Park SOUTH KOREA

Co Author(s): S. Jin   L. Jin                 

Abstract Details

Purpose:

To analyze the long-term result of scleromalasia surgery.

Setting:

A retrospective analysis was performed on 58 eyes of 55 patients who were performed scleromalasia surgery between January 2012 and March 2019.

Methods:

Reinforcement material graft for sclera defect, pedicular rotation conjunctival flap from inferior conjunctiva and de-epithelialized amniotic membrane transplantation on sclera defect and donor conjunctiva area were performed.  Visual acuity was measured preoperatively and 3 months postoperatively. Recurrence and other complications were observed at least 6-month follow-up (6-78 months).

Results:

The mean age was 65.69 years old and male to female was 24:31. The mean follow-up was 28 months. 52 eyes had pterygium surgery, 3 eyes had conjunctival whitening surgery and 1 had chemical burns. In two eyes, past history was unknown. Reinforcement material was used acellular scleral (12 eyes), collagen plate (7 eyes), auto Tenon (2 eyes), and amniotic membrane (37 eyes). There were no recurrences during the follow-up, but 3 eyes underwent suture dehiscence, 3 eyes had conjunctival cyst, and 2 eyes showed dellen. There was no EOM limitation or symblepharon. There was no difference in visual acuity.

Conclusions:

Even if some cases of wound dehiscence was occurred, there are no recurrence and no major complication, such as ocular movement limitation or symblepharon. Good surgical results are thought to be due to the large enough conjunctival flap and underlying amniotic membrane.

Financial Disclosure:

None