Japanese
English
- 有料閲覧
- Abstract 文献概要
- 1ページ目 Look Inside
(18-P2-44) 症例は79歳男性で,約20年前に右眼の翼状片手術を他院で受けたが,再発したため翼状片手術とβ線照射を行った。2年後の再診時,右眼鼻側に強膜軟化病巣を生じていたため,強膜被覆の目的で右眼表層角膜移植を行った。しかし,術後3週には移植片が融解し,ホスト角膜融解も進行し,角膜穿孔創が出現したため,強角膜被覆の目的で本人の大腿筋膜片を右眼に移植した。現在まで術後5か月の経過観察で,移植片の生着は良好で強膜軟化症の進行はない。大腿筋膜移植は強膜軟化症に効果的な方法と思われた。
A 79-year-old male presented with scleromalacia nasal to the cornea in his right eye. The affected eye had been treated by excision for pterygium 20 years before. Another excision and beta irradiation with strontium 90 had been performed for recurrence 2 years before. We performed lamellar keratoplasty to cover the lesion. The corneal graft melted 3 weeks later followed by corneal perforation. We treated the lesion by grafting homologous fascia lata with favorable results during the postoperative 5 months.
Copyright © 1998, Igaku-Shoin Ltd. All rights reserved.