Abstract
Objective To investigate the clinical efficacy of allogeneic scleral flap graft for anterior scleral staphyloma.Methods Allogeneic scleral flap graft was taken in 3 cases (3 eyes) anterior scleral staphyloma after vitrectomy and 1 case ( 1 eye) penetrating anterior scleral staphyloma with purulent endophthalmitis.All cases were followed up for 5 months to 24 months.Visual acuity,scleral graft,retina,intraocular pressure (lOP) and complications were observed.Results In 3 cases anterior scleral staphyloma after vitrectomy,visual acuity was kept with pretransplant,vascular network on the sur-face of grafts,no dissolution of the grafts,retinas were in the location,lOP was controlled in normal level.1 case penetrating anterior scleral staphyloma with purulent endophthao[itis,visual acuity was improved from no light projection to 0.05,vitreous cavity was filled with silicon oil,retina was in the location.The scleral graft was wraped up by fiber tissue,and formed a thick “new sclera”.Conclusion Allogeneic scleral flap graft can cure the pathologic anterior staphyloma,mend thin or penetrating sclera with no rejection,control IOP,save visual acuity. Key words: Graft; scleral flap; Alloplast; Allogeneic; Staphyloma, scleral; anterior
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