Surgically induced scleral staphyloma

作     者：Yong Yao Ming-Zhi Zhang Vishal Jhanji 

作者机构：Joint International Eye Center of Shantou University and The Chinese University of Hong KongShantou 515041China Department ofOphthalmology and Visual SciencesThe Chinese University of Hong KongHong KongChina 

出 版 物：《Eye Science》 (眼科学报（英文版）)

年 卷 期：2017年第32卷第1期

页      面：33-38页

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：Scleral staphyloma corneal dermoid cataract pterygium scleral patch graft 

摘      要：Background: To report the clinical features of surgically induced scleral staphyloma and investigate the ***: Retrospective uncontrolled ***: A full ophthalmological evaluation of surgically induced scleral staphyloma in four patients was performed. The first patient was a 3-year-old young girl underwent corneal dermoid resection. The second patient was a 60-year-old man underwent nasal pterygium excision and conjunctival autograft without Mitomycin C(MMC). The other two were respectively a 74-year-old woman and a 69-year-old man underwent cataract surgery. All patients performed allogeneic sclera patch graft. In the at least half a year follow-up, the best corrected visual acuity(BCVA) of all the four patients were no worse than that of preoperative. Ocular symptoms disappeared, including eye pain, foreign body sensation, and so on. Unfortunately, the fourth patient showed sclera rejection and partial dissolution at postoperative 1 month. Conclusions: Surgically induced scleral staphyloma must be considered in the differential diagnosis of patients with staphyloma following corneal dermoid, pterygium, and cataract surgery. Allogeneic sclera patch graft is one of the methods for treating scleral staphyloma. However sclera rejection and dissolution should be considered postoperatively.