[Cure of scleromalacia perforans manifesting in the course of rheumatoid arthritis with d-penicillamine and fascia lata-autograft (author's transl)].
A new treatment of a case of scleromalacia perforans, complicating rheumatoid arthritis is reported. To save the eye fascia lata was transplanted, preoperatively prednisolone and d-penicillamine was started, and this therapy was continued for one year thereafter. The effect was favorable, as pains vanished, and the grafted fascia remained whole. Cure of scleritis of the other eye hitherto unresponsive to local treatment was attained. Advantages of the combination of both immunosuppressive and surgical therapy is emphasized.
D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications*; D005128:Eye Diseases / Q000188:drug therapy / Q000601:surgery; D005205:Fascia / Q000637:transplantation*; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D006801:Humans; D010396:Penicillamine / Q000627:therapeutic use; D011239:Prednisolone / Q000627:therapeutic use; D012590:Sclera / Q000601:surgery*; D014182:Transplantation, Autologous
D011239:Prednisolone; D010396:Penicillamine
Erfolgreiche Behandlung einer Scleromalacia perforans mit Fascia-lata-Transplantation