Treatment of Scleromalacia with Scleral Autograft

ABSTRACT

PURPOSE: To report a case of a patient who developed scleromalacia after cosmetic eye whitening conjunctivectomy and treated with scleral and conjunctival autograft. CASE SUMMARY: A 42-year-old male patient who received cosmetic eye whitening conjunctivectomy in both eyes on the nasal side in 2008 developed scleromalacia in the left eye. Calcium deposits and deformed conjunctiva were removed from the left eye. Autogenous sclera and conjunctiva were obtained from the upper side of the left eye and autogenous graft was performed. Topical antibiotics, topical steroid, topical autologous serum, and antibiotic ointment were applied postoperatively. The patient was given oral steroid for 1 month after surgery. During the postoperative 6 months, the grafted autogenous sclera was well maintained and improved cosmetically. CONCLUSIONS: In cases of scleromalacia occurring after cosmetic eye whitening conjunctivectomy, autogenous sclera can be considered as a treatment filler.