Abstract
Scleral patch graft is commonly done for scleral thinning post pterygium surgeries. This procedure is done with sutures. Review of literature revealed few such cases. Scleral patch graft with fibrin glue has not been done so far. The novelty of our procedure is that we have applied fibrin glue to the scleral bed and pasted the graft over it. Then this graft was secured with minimal sutures. This not only saves the operative time but also increases patient comfort post op. Herein, we present a case of post pterygium surgery scleral melt successfully treated with scleral patch graft with fibrin adhesive.
Highlights
The human sclera is a roughly spherical, relatively avascular, white, rigid, dense connective tissue that covers the globe posterior to the cornea [1]
We present a case of post pterygium surgery scleral melt successfully treated with scleral patch graft with fibrin adhesive
Autoimmune conditions or collagen vascular diseases are known to present with scleral pathologies, which can lead to scleral thinning [4]
Summary
The human sclera is a roughly spherical, relatively avascular, white, rigid, dense connective tissue that covers the globe posterior to the cornea [1]. It is opaque and appears white due to the high water content and haphazardly arranged collagen fibers. This provides strength and rigidity to the globe despite its constant movement and the pull exerted by the extraocular muscles [2]. Autoimmune conditions or collagen vascular diseases are known to present with scleral pathologies, which can lead to scleral thinning [4]
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