Processed Fascia Lata as an Alternative Implant Material in Evisceration

Detorakis, Εfstathios T.; Ioannakis, Konstantinos; Drakonaki, Eleni E.; Ganasouli, Dimitra; Kozobolis, Vassilios

doi:10.1097/01.iop.0000155855.99932.68

Cited by 6 publications

(2 citation statements)

References 25 publications

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“…Anterior segment tectonic reconstruction in patients with scleral and conjuctival melting has been managed using various types of homografts and allografts as patching material [ 1 - 4 ]. Clinical situations that require such surgical interventions include anterior necrotizing scleritis [ 5 ], exposure of implant material employed in previous procedures (such as anti-glaucomatous valve tubes or plates [ 6 ], encircling bands for retinal detachment surgery [ 7 ] or intraorbital implants used in enucleation or evisceration surgeries [ 8 ]). Reinforcement of thinned sclera or covering of exposed implants is necessary, to prevent secondary infection and/or prolapse of ocular contents [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Cross-Linking as an Adjuvant Treatment for Tectonic Corneal Lamellar Graft Preparation

Kymionis

Plaka²,

Diakonis³

et al. 2013

TOOPHTJ

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Purpose: To describe a new surgical approach for the tectonic reconstruction of the anterior ocular segment and the management of scleral and conjuctival melting.Methods: Case series of patients demonstrating anterior segment anomalies, such as scleral and conjunctival melting. The anterior stromal part of a pre-cut corneal graft for Descemet’s stripping automated endothelial keratoplasty (DSAEK) was cross-linked with riboflavin and ultraviolet A irradiation and was used to cover scleral (scleral melting in a patient with necrotizing scleritis, one case) and conjuctival (dehiscence of the conjunctiva in patients with anti-glaucomatous valve exposure, two cases) areas. The endothelial part of all corneal grafts was used for DSAEK in patients with need of corneal endothelial transplantation.Results: Repair of scleral and conjuctival melting was successful in all cases. No intra- or post- operative complications occured. Visual acuity of all patients remained stable during the follow up period. One year postoperatively the corneal graft remained in place and no signs of inflammation were evident, while all grafts were epithelialized.Conclusions: The use of cross-linked corneal graft for the tectonic reconstruction of the anterior ocular segment represents an adequate surgical approach for the management of scleral and conjuctival melting; while, at the same time it offers the advantage of using one corneal graft for two recipients.

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Section: Introductionmentioning

confidence: 99%

Cross-Linking as an Adjuvant Treatment for Tectonic Corneal Lamellar Graft Preparation

Kymionis

Plaka²,

Diakonis³

et al. 2013

TOOPHTJ

Self Cite

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show abstract

“…Human sclera is one of the most used preserved human tissue due to its structural stability and low inflammation induction (3) . In fact, sclera is widely in used in oculoplasty for wrapping intraorbital implants, in glaucoma surgery for protecting filtering devices and in cases of scleral thinning (4)(5)(6) .…”

Section: Introductionmentioning

confidence: 99%