medigraphic.com
ISSN 1608-8921 (Print)

2015, Number 1

<< Back Next >>

Gaceta Médica Espirituana 2015; 17 (1)

Correction of postoperative symblepharon by means of conjunctival autolologous autoplasty. A case report

Valdés PE, Vergel GAC, Padrón CLM, Samper VM

Language: Spanish
References: 10
Page:
PDF size: 82.46 Kb.


ABSTRACT

Background: Postoperative symblepharon is an ophtalmalogical complication consisting of a total or partial adherence of the tarsal conjunctiva and the eyeball caused by a scar, resulting in secondary complications that affect both oculofacial anatomy and visual function. Objective: To illustrate the result of the conjunctival autolologous autoplasty as a treatment for postoperative symblepharon. Case presentation: A postoperative case of symblepharon is presented after having various surgical interventions of pterygium, who evolved with an insufficiency of limbic cells, conjunctiva of the cornea and symblepharon. The patient evolved satisfactorily after having the surgical treatment with conjunctival autolologous autoplasty, he recovered eye movement and astigmatism was reduced and there was a notorious saving of resources was achieved without sacrificing the effectiveness of the surgical procedure. Conclusions: The treatment of Postoperative symblepharon with conjunctival autolologous autoplasty allows to adopt an adequate medical conduct with a very favorable patient recovery.


REFERENCES

  1. Luanratanakorn P, Ratanapakorn T, Suwan-Apichon O, Chuck RS. Randomised controlled study of conjunctival autograft versus amniotic membrane graft in pterygium excision. Br J Ophthalmol [Internet]. 2006 Dec [cited: 2013 nov];90(12):1476-80. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1857513/

  2. Memarzadeh F, Fahd AK, Shamie N, Chuck RS et al. Comparison of de-epithelialized amniotic membrane transplantation and conjunctival autograft after primary pterigium excision. Eye (Lond) [Internet]. 2008 Jan [cited: 2013 nov];22(1):107-12. Available from: http://www.nature.com/eye/journal/v22/n1/full/6702453a.html

  3. Shimazaki J, Sinozaki N, Tsubota K. Transplantation of amniotic membrane and limbal autograft for patients with recurrent pterygium associated with symblepharon. Br J Ophthalmol [Internet]. 1998 Mar[cited: 2013 nov] ;82(3):235-40. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1722509/

  4. Díaz Ramírez S, Barrera Garcel BR, Marrero Rodríguez E, Díaz Valdivia HR; Sánchez Vega O et al. Trasplante autógeno de células límbicas y recubrimiento con membrana amniótica. Caso clínico. [Internet]. Medisan [Internet]. 2011[cited: 2011 oct 10];15(10):1473-1478. Disponible en: http://bvs.sld.cu/revistas/san/vol_15_10_11/san161011.htm

  5. Yao Fu, Jingbo Liu, Scheffer CG Oral Mucosal Graft to Correct Lid Margin Pathologic Features in Cicatricial Ocular Surface Diseases. Am J Ophthal [Internet]. 2011 oct [cited 2011 oct 20]; 152(4). Available from: http://www.ajo.com/article/S0002-9394%2811%2900238-8/pdf

  6. Küçükerdönmez C, Akova YA, Altinörs DD. Comparison of conjunctival autograft with amniotic membrane transplantation for pterygium surgery: surgical and cosmetic outcome. Cornea [Internet] 2007 May[cited: 2011 oct 20];26(4):407-13. Available from: http://journals.lww.com/corneajrnl/pages/articleviewer.aspx?year=2007&issue=05000&article=00005&type=abstract

  7. Rahman I, Said DG, Maharajan VS, Dua. Amniotic membrane in ophthalmology: indications and limitations. Eye (Lond) [Internert]. 2009 Oct [cited: 2011 oct 20];23(10):1954-61. Available from: http://www.nature.com/eye/journal/v23/n10/full/eye2008410a.html

  8. Pastor-Vivas AI, Alejandre-Alba N, García-Vega MI, Ariño-Gutiérrez M, García-Sandoval B, Jiménez-Alfaro I. Cuantificación y cualificación del dolor postquirúrgico en la cirugía de pterigion con autoinjerto conjuntival. Arch Soc Esp Oftalmol [Internet]. 2011 [citado: 2011 oct];86(6):176-9. Disponible en: http://www.elsevier.es/es-revista-archivos-sociedad-espanola-oftalmologia-296-articulo-cuantificacion-cualificacion-del-dolor-postquirurgico-90024461

  9. Ibañez-Hdez Miguel A, Ramos Espinosa Karina. Cirugía de pterigium: membrane amniótica vs autoinjerto de conjuntiva. Rev Mex Oftalmol [Internet]. 2006 Enero-feb; 80(1):9-11. Disponible en: http://www.medigraphic.com/pdfs/revmexoft/rmo-2006/rmo061c.pdf

  10. López-García JS, Rivas L, García-Lozano I et al. Tratamiento de la insuficiencia limbal grave mediante cirugía combinada de transplante de limbo y transplante de membrana amniótica. Arch Soc Esp Oftalmol [Internet]. 2005 [citado: 2011 ene 16]; 80(7). Dispuesto en: http://scielo.isciii.es/scielo.php?pid=S0365-66912005000700005&script=sci_arttext




2020     |     www.medigraphic.com