난치성 괴사성 공막 천공 환자에서 자가 귀구슬 연골막을 이용한 안구재건술 1예

• 영문명: Ocular Reconstruction Using Autologous Tragal Perichondrium for a Refractory Necrotizing Scleral Perforation: A Case Report
• 발행기관: 대한안과학회
• 저자명: 구현 정재훈 전연숙 김재찬,Hyun Koo, MD, Jae Hoon Jeong, MD, Yeoun Sook Chun, MD, PhD, Jae Chan Kim, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume52,number10, 1227~1231쪽, 전체 5쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2011.10.15

영문 초록

Purpose: To report the effectiveness of an autologous tragal perichondrium graft for a necrotizing scleritis case which was refractory to conventional surgery. Case summary: A 75-year-old woman was referred to our clinic with recurrent necrotizing scleritis of the left eye which occurred after pterygium removal five years earlier. The patient underwent scleral graft, pericardium graft, and amniotic membrane graft in other clinics; however, necrosis of the sclera progressed. The best corrected visual acuity was 0.06, and choroidal tissue was nearly exposed below the melted pericardium graft in the nasal area. The authors harvested tragal perichondrium from the right ear, and the scleral defect was successfully reconstructed with an autologous tragal perichondium graft. The graft showed rapid epithelization and neovascularization within a week and conjunctivalization after three months. No complications have been observed up to one year after surgery. Conclusions: Autologous tragal perichondrium graft is an effective treatment to alter necrotized sclera via neovascularization and rapid epithelization in refractory necrotizing scleritis cases. J Korean Ophthalmol Soc 2011;52(10):1227-1231

키워드

Epithelization, Necrotizing scleritis, Neovascularization, Tragal perichondrium