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Long-term clinical outcomes of conjunctival flap surgery for calcified scleromalacia after periocular surgery.
Cornea. 2015 Mar; 34(3):308-12.C

Abstract

PURPOSE

The aim of this study was to investigate long-term clinical outcomes of conjunctival flap surgery for calcified scleromalacia after periocular surgery.

METHODS

We examined 73 surgical sites (nasal and/or temporal area) in 60 eyes from 43 patients who underwent conjunctival flap surgery for calcified scleromalacia arising from cosmetic wide conjunctivectomy or pterygium excision. Clinical outcomes, including the need for reoperation and development of complications, were evaluated over a long-term follow-up period. Morphological evaluations of the surgical area at final follow-up were performed using a total score for injection severity, ocular surface smoothness, and choroid visibility, and patients subjectively evaluated their cosmetic outcome using a scale of 0 (very poor) to 4 (excellent).

RESULTS

The mean follow-up duration after final conjunctival flap surgery was 26.5 ± 6.8 months (range, 15-52 months). There were no cases of progressive scleral thinning or serious complications such as flap necrosis or scleral perforation. Only 3 surgical areas with an inferior flap required additional flap placement because of avascular sclera exposure. Minor complications such as conjunctival cyst, edematous flap, vessel engorgement, and flap hypertrophy were easily treated or spontaneously improved. Mean morphological score was 2.2 and cosmetic outcome score was 2.9, indicating almost "good" outcomes.

CONCLUSIONS

Based on our long-term experience, we propose that conjunctival flap surgery may be a safe and satisfactory treatment for complicated calcified scleromalacia after periocular surgery.

Authors+Show Affiliations

*Department of Ophthalmology, Severance Hospital, Corneal Dystrophy Research Institute, Yonsei University College of Medicine, Seoul, South Korea; †Department of Ophthalmology and Visual Sciences, School of Medicine, Washington University, St. Louis, MO; and ‡Institute of Vision Research, Severance Biomedical Science Institute, Brain Korea 21 Plus Project for Medical Science, Yonsei University College of Medicine, Seoul, South Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25532999

Citation

Jung, Ji Won, et al. "Long-term Clinical Outcomes of Conjunctival Flap Surgery for Calcified Scleromalacia After Periocular Surgery." Cornea, vol. 34, no. 3, 2015, pp. 308-12.
Jung JW, Kwon KY, Choi DL, et al. Long-term clinical outcomes of conjunctival flap surgery for calcified scleromalacia after periocular surgery. Cornea. 2015;34(3):308-12.
Jung, J. W., Kwon, K. Y., Choi, D. L., Kim, T. I., Kim, E. K., & Seo, K. Y. (2015). Long-term clinical outcomes of conjunctival flap surgery for calcified scleromalacia after periocular surgery. Cornea, 34(3), 308-12. https://doi.org/10.1097/ICO.0000000000000326
Jung JW, et al. Long-term Clinical Outcomes of Conjunctival Flap Surgery for Calcified Scleromalacia After Periocular Surgery. Cornea. 2015;34(3):308-12. PubMed PMID: 25532999.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term clinical outcomes of conjunctival flap surgery for calcified scleromalacia after periocular surgery. AU - Jung,Ji Won, AU - Kwon,Kye Yoon, AU - Choi,Deana Lynn, AU - Kim,Tae-Im, AU - Kim,Eung Kweon, AU - Seo,Kyoung Yul, PY - 2014/12/24/entrez PY - 2014/12/24/pubmed PY - 2015/9/1/medline SP - 308 EP - 12 JF - Cornea JO - Cornea VL - 34 IS - 3 N2 - PURPOSE: The aim of this study was to investigate long-term clinical outcomes of conjunctival flap surgery for calcified scleromalacia after periocular surgery. METHODS: We examined 73 surgical sites (nasal and/or temporal area) in 60 eyes from 43 patients who underwent conjunctival flap surgery for calcified scleromalacia arising from cosmetic wide conjunctivectomy or pterygium excision. Clinical outcomes, including the need for reoperation and development of complications, were evaluated over a long-term follow-up period. Morphological evaluations of the surgical area at final follow-up were performed using a total score for injection severity, ocular surface smoothness, and choroid visibility, and patients subjectively evaluated their cosmetic outcome using a scale of 0 (very poor) to 4 (excellent). RESULTS: The mean follow-up duration after final conjunctival flap surgery was 26.5 ± 6.8 months (range, 15-52 months). There were no cases of progressive scleral thinning or serious complications such as flap necrosis or scleral perforation. Only 3 surgical areas with an inferior flap required additional flap placement because of avascular sclera exposure. Minor complications such as conjunctival cyst, edematous flap, vessel engorgement, and flap hypertrophy were easily treated or spontaneously improved. Mean morphological score was 2.2 and cosmetic outcome score was 2.9, indicating almost "good" outcomes. CONCLUSIONS: Based on our long-term experience, we propose that conjunctival flap surgery may be a safe and satisfactory treatment for complicated calcified scleromalacia after periocular surgery. SN - 1536-4798 UR - https://www.unboundmedicine.com/medline/citation/25532999/Long-term_clinical_outcomes_of_conjunctival_flap_surgery_for_calcified_scleromalacia_after_periocular_surgery L2 - https://doi.org/10.1097/ICO.0000000000000326 DB - PRIME DP - Unbound Medicine ER -