REPAIR OF A GIANT SCLERAL ULCER WITH PRESERVED SCLERA AND TISSUE ADHESIVE

BACKGROUND AND OBJECTIVE: Infectious scleral ulcer is a rare but sever e late complication of pterygium surgery. Scleral grafts may be requir ed in scleral ectasia with uveal exposure, corneal distortion, and sev ere anterior chamber reaction that are induced by scleral ulcer. The a uthors report a method for scleral grafting with preserved sclera and tissue adhesive. PATIENTS AND METHODS: Six cases of infectious scleral ulcers were repaired with this method. Preserved sclera was attached to the thinning sclera with tissue adhesive without sutures. The free or rotation conjunctival flap was placed over the graft area and sutur ed with 10-0 nylon. RESULTS: The six cases repaired by this method sho wed good results during the follow-up, except for one loss. The only c omplication was protrusion of the adhesive postoperatively. This protr usion can be easily removed with forceps on an outpatient basis. CONCL USION: Tissue adhesive with preserved sclera is a useful method for re pair of scleral thinning.