Management of scleral melt.

Scleral enforcement Scleral graft Scleral melt Scleral necrosis

Journal

The ocular surface
ISSN: 1937-5913
Titre abrégé: Ocul Surf
Pays: United States
ID NLM: 101156063

Informations de publication

Date de publication:
01 2023
Historique:
received: 24 07 2022
revised: 14 12 2022
accepted: 17 12 2022
pubmed: 23 12 2022
medline: 18 1 2023
entrez: 22 12 2022
Statut: ppublish

Résumé

Scleral melting, while rare, can lead to significant ocular morbidity. Several possible risk factors for scleral melt have been identified, such as infection, autoimmune disease, trauma, and post-surgical state, and these may act in combination with each other. Treatment should be tailored according to the etiology and severity of the scleral melt. Medical management may be indicated, especially in cases of autoimmune-related melt; however, surgical procedures are often necessary due to compromised ocular integrity and limited penetration of medications into the avascular sclera. An understanding of the surgical options available and their operative outcomes is particularly important when choosing the appropriate treatment protocol for each patient.

Identifiants

pubmed: 36549583
pii: S1542-0124(22)00122-7
doi: 10.1016/j.jtos.2022.12.005
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

92-99

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Auteurs

Bennett E Ahearn (BE)

Department of Ophthalmology, UT Health San Antonio, San Antonio, TX, USA.

Kathryn E Lewis (KE)

Department of Ophthalmology, UT Health San Antonio, San Antonio, TX, USA.

Blair E Reynolds (BE)

Department of Ophthalmology, UT Health San Antonio, San Antonio, TX, USA.

Ahmad Kheirkhah (A)

Department of Ophthalmology, UT Health San Antonio, San Antonio, TX, USA. Electronic address: kheirkhah@uthscsa.edu.

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Classifications MeSH