J Korean Ophthalmol Soc > Volume 55(11); 2014 > Article
Journal of the Korean Ophthalmological Society 2014;55(11):1706-1709.
DOI: https://doi.org/10.3341/jkos.2014.55.11.1706    Published online November 15, 2014.
Treatment of Scleromalacia with Scleral Autograft.
Young Jin Song, Seung Il Jung, Ji Won Kwon
Department of Ophthalmology, Myongji Hospital, Goyang, Korea. eyeminerva@naver.com
자가공막이식술을 이용한 공막연화증의 치료 1예
Department of Ophthalmology, Myongji Hospital, Goyang, Korea
To report a case of a patient who developed scleromalacia after cosmetic eye whitening conjunctivectomy and treated with scleral and conjunctival autograft. CASE SUMMARY: A 42-year-old male patient who received cosmetic eye whitening conjunctivectomy in both eyes on the nasal side in 2008 developed scleromalacia in the left eye. Calcium deposits and deformed conjunctiva were removed from the left eye. Autogenous sclera and conjunctiva were obtained from the upper side of the left eye and autogenous graft was performed. Topical antibiotics, topical steroid, topical autologous serum, and antibiotic ointment were applied postoperatively. The patient was given oral steroid for 1 month after surgery. During the postoperative 6 months, the grafted autogenous sclera was well maintained and improved cosmetically. CONCLUSIONS: In cases of scleromalacia occurring after cosmetic eye whitening conjunctivectomy, autogenous sclera can be considered as a treatment filler.
Key Words: Cosmetic eye whitening conjunctivectomy;Scleral autograft;Scleromalacia

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