Conjunctival Flap with Biodegradable Collagen Matrix Implantation for the Treatment of Scleromalacia after Periocular Surgery
- 주제(키워드) Biodegradable collagen matrix , conjunctival flap , cosmetic wide conjunctivectomy , Ologen , pterygium excision , scleromalacia
- 주제(기타) Ophthalmology
- 설명문(일반) [Han, Kyung Eun; Jun, Roo Min] Ewha Womans Univ, Dept Ophthalmol, Mok Dong Hosp, Coll Med, Seoul, South Korea; [Yoon, Sangchul] Natl Med Ctr, Dept Ophthalmol, Seoul, South Korea; [Kim, Tae-im; Kim, Eung Kweon; Seo, Kyoung Yul] Yonsei Univ, Dept Ophthalmol, Inst Vis Res, Coll Med, Seoul, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 TAYLOR & FRANCIS INC
- 발행년도 2019
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000171882
- 본문언어 영어
- Published As https://dx.doi.org/10.1080/09273948.2018.1424340
- PubMed https://pubmed.ncbi.nlm.nih.gov/29420103
초록/요약
Purpose: To report a new surgical procedure using biodegradable collagen matrix (Ologen) implantation with conjunctival flap for reconstruction of scleromalacia after periocular surgery. Methods: A total of 26 areas of 25 eyes in 25 patients were included. We divided all eyes according to the preoperative extent of calcified plaque or scleral defect as follows: small, large, and large and severe. Morphologic outcomes were graded from 0 to 7, with higher scores indicating worse cosmetic outcomes. Results: Mean follow-up period was 8.3 +/- 5.6 months. No eyes showed recurrence or specific complications related to Ologen such as implant extrusion or allergic reaction. Minor complications such as flap vessel engorgement and flap hypertrophy were easily treated. Mean morphologic outcome scores were 1.8, 2.4, and 5.3 in groups 1, 2, and 3, respectively. Discussion: The combined surgery may be an effective and safe procedure for the treatment of scleromalacia after periocular surgeries.
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