Surgical management of scleral defects

Abstract

Purpose: To evaluate the results of surgical management of scleral defects using fascia lata, cornea, and sclera as graft materials.

Methods: The scleral defects of 8 patients were repaired surgically. Six had previous intraocular surgery, 1 had eye trauma, and the other had both intraocular surgery and trauma. Corneoscleral grafts were used in 3 eyes, scleral grafts in 4, and fascia lata was used in 1 eye.

Results: In 7 patients, we achieved the desired cosmetic and tectonic success. During the follow-up period, a recurrent defect was seen in 1 patient, and a second operation was required.

Conclusions: Surgical techniques using fascia lata, corneal, and scleral grafts are effective for scleral defects.