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Tarsoconjunctival flap in scleral necrosis: report of three cases / Retalho tarsoconjuntival em necrose escleral: relato de três casos
Lopes, Gerson Jorge Aparecido; Morgado, Cláudia Raquel.
Affiliation
  • Lopes, Gerson Jorge Aparecido; Universidade Estadual de Londrina. Department of Clinical Surgery. Londrina. BR
  • Morgado, Cláudia Raquel; Universidade Estadual de Londrina. Londrina. BR
Rev. bras. oftalmol ; 81: e0013, 2022. graf
Article in En | LILACS | ID: biblio-1365727
Responsible library: BR1.2
ABSTRACT
ABSTRACT To report a series of three cases (four eyes) of scleral necrosis after pterygium excision, in which the tarsoconjunctival flap technique was used as treatment. Three patients who progressed to scleral necrosis after surgical pterygium excision were selected. The first patient underwent excision using the bare sclera technique and developed scleral thinning in the immediate postoperative period. The second and third patients received beta irradiation and had late onset scleral necrosis. The tarsoconjunctival flap technique was performed by the same surgeon. Recovery was satisfactory from both anatomical and functional perspectives in all cases, and the technique was considered effective and safe. Although there are only few reports about this technique in the literature, it can be considered as a good alternative to treat scleral necrosis.
RESUMO
RESUMO O objetivo deste estudo foi relatar uma série de três casos (quatro olhos) de necrose escleral pós-exérese de pterígio, em que se utilizou como tratamento a técnica de retalho tarsoconjuntival. Foram selecionados três pacientes que evoluíram para necrose escleral após tratamento cirúrgico de exérese de pterígio o primeiro caso após técnica de esclera nua, com evolução para afinamento escleral no pós-operatório imediato; o segundo e o terceiro fizeram uso de betaterapia e apresentaram necrose escleral tardiamente. A técnica de recobrimento tarsoconjuntival foi executada pelo mesmo cirurgião. A recuperação foi satisfatória em todos os casos, do ponto de vista anatômico e funcional, sendo eficiente e segura. Apesar das escassas menções na literatura, essa técnica pode ser considerada uma boa alternativa para tratamento da necrose escleral.
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Full text: 1 Index: LILACS Main subject: Postoperative Complications / Surgical Flaps / Pterygium / Scleral Diseases / Necrosis Type of study: Etiology_studies Limits: Adult / Aged / Female / Humans / Male Language: En Journal: Rev. bras. oftalmol Journal subject: OFTALMOLOGIA Year: 2022 Type: Article

Full text: 1 Index: LILACS Main subject: Postoperative Complications / Surgical Flaps / Pterygium / Scleral Diseases / Necrosis Type of study: Etiology_studies Limits: Adult / Aged / Female / Humans / Male Language: En Journal: Rev. bras. oftalmol Journal subject: OFTALMOLOGIA Year: 2022 Type: Article