Use of corneal patch graft to repair scleral or corneoscleral defects ⁺

Reparação de defeito escleral ou corneoscleral com enxerto corneano

SUMMARY

Different types of graft materiais, such as buccal mucosal membrane, auricular cartilage, conjunctiva, fascia lata, periosteum and dermal autografts, aortic and scleral homografts and synthetic materiais have been used in order to repair or reinforce scleral or corneoscleral defects with variable results.

We report patients with a minimum one year follow-up, successfully treated with corneal patch graft. In ali cases, the corneal patch graft healed well without any evidence of further melting, infection or rejection. The grafts remained intact and able to support the defect, with a favorable final cosmetic appearance.

Therefore, we emphasize the importance of human donor corneal tissue as an excellent alternative graft material to reinforce or repair scleral or corneoscleral defect.

Key Words:
Corneal patch graft; Corneoscleral surgery; Perforation; Scleritis

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• This study was supported in part by Pan-American Association of Ophthalmology and Allergan/Brasil.
• +
  From Departament of Ophthalmology - California Pacific Medical Center (CPMC) - San Francisco, California.

REFERENCES

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Publication Dates

• Publication in this collection
  Oct 1995