Limbal patch graft in surgically induced scleral necrosis.
BACKGROUND
Surgically induced scleral necrosis (SINS) is a rare consequence of ocular surgery. Various graft materials have been recommended for the repair of scleral necrosis. We report use of fresh cadaveric limbal graft for the same purpose.


METHODS
A 42-year-old female presented with severe pain and buckle extrusion following external segmental buckling surgery for inferior retinal detachment. Buckle removal performed under general anesthesia revealed an area of scleral necrosis with uveal prolapse. Due to non-availability of other donor material a fresh cadaveric limbal graft remnant after keratoplasty was used for the repair after obtaining informed consent.


RESULTS
Successful uptake of graft was observed and the globe integrity was restored.


CONCLUSIONS
The case suggests that a fresh limbal graft may provide adequate tectonic support in eyes with SINS and can serve as an option for donor graft tissue in emergency situations.
Sony
Parul
P
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Garg
Sat Pal
SP
Tandon
Radhika
R
D005260:Female; D006801:Humans; D016850:Limbus Corneae; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology / Q000601:surgery; D012163:Retinal Detachment / Q000601:surgery; D012590:Sclera / Q000473:pathology / Q000601:surgery* / Q000637:transplantation*; D012591:Scleral Buckling / Q000009:adverse effects*; D013536:Suture Techniques