title: Use of autologous fascia lata as a natural biomaterial for tectonic support in surgically induced necrotizing scleritis.
abstract: BACKGROUND
  Surgically induced scleral necrosis (SINS) is a severe form of scleritis threatening both vision and integrity of the eye. SINS is a rare sequel of ocular surgery and has been described after cataract extraction, trabeculectomy, strabismus, retinal detachment surgery including parsplana vitrectomy, penetrating keratoplasty, pterygium excision, and diode cyclophotocoagulation.
  
  
  METHODS
  To report on the application of autologous fascia lata as a readily available natural biomaterial for ocular tectonic support in SINS, we performed this retrospective chart review including two eyes of two patients; one case following both repaired rupture globe, parsplana vitrectomy, and diode laser transscleral cyclophotocoagulation and one case following pterygium surgical excision.
  
  
  RESULTS
  Successful coverage of the area of scleral thinning with autologous fascia lata was achieved in both cases with overlying healthy vascularized conjunctiva and resolution of the ocular inflammation.
  
  
  CONCLUSIONS
  The fascia lata transplant combined with systemic immunosuppression was successful in providing adequate tectonic support and controlling the progression of scleral melt for two cases with SINS.
authors: Ophthalmology Department, Cairo University, Cairo, Egypt.
authors: H
authors: H
authors: Kobtan
mesh_terms: D000328:Adult; D001672:Biocompatible Materials / Q000627:therapeutic use*; D003228:Conjunctiva / Q000601:surgery; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D011625:Pterygium / Q000601:surgery; D012189:Retrospective Studies; D012590:Sclera / Q000601:surgery; D015423:Scleritis / Q000601:surgery*; D014182:Transplantation, Autologous; D016896:Treatment Outcome
chemical_list: D001672:Biocompatible Materials
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