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Case Reports
. 2024 Dec 1;43(12):1567-1569.
doi: 10.1097/ICO.0000000000003643. Epub 2024 Jul 30.

Autologous Pericranium Graft for Necrotizing Scleritis

Sergio Copete  1 , María Antonia Fagúndez-Vargas  1 , Franciso López-Martínez  1 , Almudena Moreno-Martínez  1 , Jose Gregorio García-García  1 , Enrique Júdez  2 , María José Carrilero-Ferrer  1
Affiliations
Case Reports

Autologous Pericranium Graft for Necrotizing Scleritis

Sergio Copete et al. Cornea. .

Abstract

Purpose: The purpose of this study was to describe the clinical outcome of scleral staphyloma secondary to necrotizing scleritis treated with autologous pericranial grafting.

Case report: A 63-year-old woman with necrotizing scleritis and choroidal protrusion underwent homologous scleral grafting, which failed. The patient's medical management was optimized for control of her systemic inflammation, and she underwent a second surgery consisting of autologous pericranium grafted to the parietal region. A 3- × 2-cm tissue patch was harvested and sutured over the staphyloma borders with 8/0 polyglactin sutures. Complete re-epithelialization was observed at 3 weeks, the graft was well integrated, and no signs of inflammation were observed at 18 months.

Conclusions: The pericranium offers a viable alternative for scleral thinning because of necrotizing scleritis.

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Conflict of interest statement

The authors have no funding or conflicts of interest to disclose.

References

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