Rao G N, Aquavella J V, Palumbo A J
Ophthalmic Surg. 1977 Oct;8(5):86-92.
A case of scleromalacia perforans in a 60-year-old white male without any associated systemic diseases is reported. The patient had central retinal artery occlusion and Mooren's type of peripheral corneal degeneration in this eye preceding the development of scleromalacia. Various modalities of treatment, both medical and surgical, have been described in the literature and among surgical procedures various tissues were used as graft material in the areas of scleral thinning. We chose periosteum as the graft material on the basis of our experience with it in cases of "through-and-through" keratoprosthesis and the result has been very encouraging. Though our experience is limited to only one case, we feel that periosteum as graft material has a place in cases of scleromalacia.
报告了一例60岁无任何相关系统性疾病的白人男性的穿孔性巩膜软化症。该患者在穿孔性巩膜软化症发生之前，这只眼睛患有视网膜中央动脉阻塞和周边角膜变性的莫伦氏型。文献中描述了各种治疗方式，包括药物治疗和手术治疗，在手术过程中，在巩膜变薄区域使用了各种组织作为移植材料。基于我们在“贯通式”角膜移植病例中使用骨膜的经验，我们选择骨膜作为移植材料，结果非常令人鼓舞。虽然我们的经验仅限于一个病例，但我们认为骨膜作为移植材料在穿孔性巩膜软化症病例中占有一席之地。
