自体颅骨周围移植治疗坏死性巩膜炎

IF 1.9 3区医学 Q2 OPHTHALMOLOGY

Cornea Pub Date : 2024-12-01 Epub Date: 2024-07-30 DOI:10.1097/ICO.0000000000003643

Sergio Copete, María Antonia Fagúndez-Vargas, Franciso López-Martínez, Almudena Moreno-Martínez, Jose Gregorio García-García, Enrique Júdez, María José Carrilero-Ferrer

{"title":"自体颅骨周围移植治疗坏死性巩膜炎","authors":"Sergio Copete, María Antonia Fagúndez-Vargas, Franciso López-Martínez, Almudena Moreno-Martínez, Jose Gregorio García-García, Enrique Júdez, María José Carrilero-Ferrer","doi":"10.1097/ICO.0000000000003643","DOIUrl":null,"url":null,"abstract":"Purpose: The purpose of this study was to describe the clinical outcome of scleral staphyloma secondary to necrotizing scleritis treated with autologous pericranial grafting.Case report: A 63-year-old woman with necrotizing scleritis and choroidal protrusion underwent homologous scleral grafting, which failed. The patient's medical management was optimized for control of her systemic inflammation, and she underwent a second surgery consisting of autologous pericranium grafted to the parietal region. A 3- × 2-cm tissue patch was harvested and sutured over the staphyloma borders with 8/0 polyglactin sutures. Complete re-epithelialization was observed at 3 weeks, the graft was well integrated, and no signs of inflammation were observed at 18 months.Conclusions: The pericranium offers a viable alternative for scleral thinning because of necrotizing scleritis.","PeriodicalId":10710,"journal":{"name":"Cornea","volume":" ","pages":"1567-1569"},"PeriodicalIF":1.9000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Autologous Pericranium Graft for Necrotizing Scleritis.\",\"authors\":\"Sergio Copete, María Antonia Fagúndez-Vargas, Franciso López-Martínez, Almudena Moreno-Martínez, Jose Gregorio García-García, Enrique Júdez, María José Carrilero-Ferrer\",\"doi\":\"10.1097/ICO.0000000000003643\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Purpose: The purpose of this study was to describe the clinical outcome of scleral staphyloma secondary to necrotizing scleritis treated with autologous pericranial grafting.Case report: A 63-year-old woman with necrotizing scleritis and choroidal protrusion underwent homologous scleral grafting, which failed. The patient's medical management was optimized for control of her systemic inflammation, and she underwent a second surgery consisting of autologous pericranium grafted to the parietal region. A 3- × 2-cm tissue patch was harvested and sutured over the staphyloma borders with 8/0 polyglactin sutures. Complete re-epithelialization was observed at 3 weeks, the graft was well integrated, and no signs of inflammation were observed at 18 months.Conclusions: The pericranium offers a viable alternative for scleral thinning because of necrotizing scleritis.\",\"PeriodicalId\":10710,\"journal\":{\"name\":\"Cornea\",\"volume\":\" \",\"pages\":\"1567-1569\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cornea\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/ICO.0000000000003643\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/30 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"OPHTHALMOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cornea","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/ICO.0000000000003643","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/30 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

目的：本研究旨在描述自体巩膜周围移植术治疗坏死性巩膜炎继发的巩膜葡萄肿的临床结果：一名患有坏死性巩膜炎和脉络膜突出的 63 岁女性接受了自体巩膜移植手术，但手术失败。为了控制全身炎症，她接受了第二次手术，将自体巩膜周围组织移植到顶盖区。采集了一块 3 × 2 厘米的组织补片，并用 8/0 聚乳酸缝合线将其缝合在葡萄肿边界上。3 周后观察到完全的再上皮化，移植物很好地融合在一起，18 个月后未观察到炎症迹象：结论：对于因坏死性巩膜炎导致的巩膜变薄，巩膜周围移植是一种可行的替代方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Autologous Pericranium Graft for Necrotizing Scleritis.

Purpose: The purpose of this study was to describe the clinical outcome of scleral staphyloma secondary to necrotizing scleritis treated with autologous pericranial grafting.

Case report: A 63-year-old woman with necrotizing scleritis and choroidal protrusion underwent homologous scleral grafting, which failed. The patient's medical management was optimized for control of her systemic inflammation, and she underwent a second surgery consisting of autologous pericranium grafted to the parietal region. A 3- × 2-cm tissue patch was harvested and sutured over the staphyloma borders with 8/0 polyglactin sutures. Complete re-epithelialization was observed at 3 weeks, the graft was well integrated, and no signs of inflammation were observed at 18 months.

Conclusions: The pericranium offers a viable alternative for scleral thinning because of necrotizing scleritis.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Cornea 医学-眼科学

CiteScore

5.20

自引率

10.70%

发文量

354

审稿时长

3-6 weeks

期刊介绍： For corneal specialists and for all general ophthalmologists with an interest in this exciting subspecialty, Cornea brings together the latest clinical and basic research on the cornea and the anterior segment of the eye. Each volume is peer-reviewed by Cornea''s board of world-renowned experts and fully indexed in archival format. Your subscription brings you the latest developments in your field and a growing library of valuable professional references. Sponsored by The Cornea Society which was founded as the Castroviejo Cornea Society in 1975.