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Surgically induced scleral staphyloma

摘要Background: To report the clinical features of surgically induced scleral staphyloma and investigate the management. Methods: Retrospective uncontrolled study. Results: 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.

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作者单位 Joint International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou 515041, China [1] Joint International Eye Center of Shantou University and The Chinese University of Hong Kong, Shantou 515041, China;Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong, China [2]
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DOI 10.3978/j.issn.1000-4432.2017.03.03
发布时间 2017-05-27(万方平台首次上网日期,不代表论文的发表时间)
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