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Complication of scleroplasty observed in a long-term period: a clinical case

Year: 2021, volume 17 Issue: №2 Pages: 336-338
Heading: Тhematic supplement Article type: Case report
Authors: Kuznetsov I.V., Pasikova N.V.
Organization: The S. Fyodorov Eye Microsurgery Federal State Institution
Summary:

Purpose: to present a clinical case of a rare long-term postoperative complication of scleroplasty performed for progressive myopia. One of the methods of surgical treatment of progressive axial myopia is scleroplasty — strengthening the posterior pole of the sclera with grafts. The operation is simple to perform, does not require special equipment and rarely causes postoperative complications. The clinical case demonstrates a complication that appeared in the long-term period after scleroplasty — the darkening of the dislocated graft. It developed after hemosiderin imbibition of the graft material based on the subconjunctival hemorrhage caused by a blow to the eye. The graft was removed and replaced with a new one. Three months after the operation, it retains its correct position and color. This clinical case focuses on the interrelated complications of a technically simple operation: a change in the color of the graft due to subconjunctival hemorrhage occurred due to its displacement to the area of frequent localization of the hyposhagmus.

Keywords: scleroplasty, subconjunctival hemorrhage

Bibliography:
1. Morgan IG, Ohno-Matsui K, Saw SM. Myopia. The Lancet 2012; 379: 1739-48.
2. Holden BA, Fricke TR, Wilson DA, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology 2016; 123: 1036-42.
3. Lam CS-Y, Lam C-H, Cheng SC-K, et al. Prevalence of myopia among Hong Kong Chinese schoolchildren: changes over two decades. Ophthalmic Physiol Opt 2012; 32: 17-24.
4. Fang Y, Yokoi T, Nagaoka N, et al. Progression of myopic maculopathy during 18-year follow-up. Ophthalmology 2018; 125:863-77.
5. Ohno-Matsui K. Proposed classification of posterior staphylomas based on analyses of eye shape by three-dimensional magnetic resonance imaging and wide-field fundus imaging. Ophthalmology 2014; 121: 1798-809.
6. Shinohara K, Tanaka N, Jonas JB, et al. Ultrawide-field ОСТ to investigate relationships between myopic macular retinoschisis and posterior staphyioma. Ophthalmology 2018; 125: 1575-86.
7. Shevelev MM. Operation against high myopia and sclera with aid of the transplantation of fasciae latae on thinned sclera. Russian Ophthalmol J 1930; 11: 107-10.
8. Huang W, Duan A, Qi Y Posterior scleral reinforcement to prevent progression of high myopia. Asia Рас J Ophthalmol (Phila)2019;8:366-70.

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All articles of the authors: Kuznetsov I.V. , Pasikova N.V.

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