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Conjunctival Flap with Biodegradable Collagen Matrix Implantation for the Treatment of Scleromalacia after Periocular Surgery

Authors
 Kyung Eun Han  ;  Sangchul Yoon  ;  Roo Min Jun  ;  Tae-im Kim  ;  Eung Kweon Kim  ;  Kyoung Yul Seo 
Citation
 OCULAR IMMUNOLOGY AND INFLAMMATION, Vol.27(4) : 614-621, 2018 
Journal Title
 OCULAR IMMUNOLOGY AND INFLAMMATION 
ISSN
 0927-3948 
Issue Date
2018
Keywords
Biodegradable collagen matrix ; Ologen ; conjunctival flap ; cosmetic wide conjunctivectomy ; pterygium excision ; scleromalacia
Abstract
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.
Full Text
https://www.tandfonline.com/doi/full/10.1080/09273948.2018.1424340
DOI
10.1080/09273948.2018.1424340
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Eung Kweon(김응권) ORCID logo https://orcid.org/0000-0002-1453-8042
Kim, Tae Im(김태임) ORCID logo https://orcid.org/0000-0001-6414-3842
Seo, Kyuong Yul(서경률) ORCID logo https://orcid.org/0000-0002-9855-1980
Yoon, Sang Chul(윤상철) ORCID logo https://orcid.org/0000-0003-0454-9597
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/169807
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