Repair of a scleral defect with an autogenous fascia lata graft in a dog

Grundon, Rachael A.; Hardman, Chloë; O’Reilly, Anu; Stanley, Robin G.

doi:10.1111/j.1463-5224.2011.00894.x

Cited by 9 publications

(13 citation statements)

References 22 publications

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“…Although this technique was used to treat a limbal melanoma after excision, this technique could be used for any large eyewall defect. Described corneoscleral grafting techniques are numerous and include autologous grafts using conjunctiva, third eyelid cartilage, fascia lata, biosynthetic grafts, homologous cornea or cornea with sclera, amniotic membrane from a variety of species and prosthetic grafts . Autologous grafts are desirable for corneal surgery because they do not elicit a donor–host rejection reaction.…”

Section: Discussionmentioning

confidence: 99%

Penetrating sclerokeratoplasty and autologous pinnal cartilage and conjunctival grafting to treat a large limbal melanoma in a dog

Mathes

Moore

Ellis

2014

Veterinary Ophthalmology

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A four-year-old neutered male Labrador retriever presented to Portland Veterinary Specialists Ophthalmology Service for evaluation of a pigmented mass oculus sinister (OS) of approximately 4-month duration. Complete ophthalmic examination revealed a large, pigmented, raised, well-demarcated, epibulbar mass appearing to originate from the nasodorsal limbal region. The mass was smooth and roughly circular, extending approximately 4 mm into the sclera and 14 mm into the nasodorsal cornea. Gonioscopy directly under the mass was not possible due to mass size. The visible iridocorneal angle was normal. High-resolution B-scan ultrasound showed mass extension to Descemet's membrane and deep sclera, but no intraocular invasion. Penetrating sclerokeratoplasty was performed followed by autologous pinnal cartilage and conjunctival grafting to repair the corneoscleral defect (20 mm x 19 mm) and to restore globe integrity and function. Histopathology confirmed the mass to be a benign limbal melanoma with complete excision. The surgery site healed without complication, and the pinnal cartilage became fully incorporated into the globe. Twelve months postoperatively, the patient remains visual with a normal intraocular and fundic examination. The pinnal harvest site on the right ear healed without complication. To the authors' knowledge, this is the first reported case of corneoscleral grafting using autologous pinnal cartilage. This may represent a viable alternative to other corneoscleral grafting procedures for large defects and is an attractive treatment option due to lack of host rejection, readily available source of donor cartilage, and provision of tectonic support to the globe.

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Section: Discussionmentioning

confidence: 99%

Penetrating sclerokeratoplasty and autologous pinnal cartilage and conjunctival grafting to treat a large limbal melanoma in a dog

Mathes

Moore

Ellis

2014

Veterinary Ophthalmology

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“…Free or pedicled fascia grafts have also been successfully used in a variety of procedures other than body wall reconstruction: repair of scleral defects (Grundon et al ); creation of venous patch grafts (Csebi et al ); repair of urethral defects (Atalan et al ); replacement of patellar tendon (Gemmill & Carmichael ); intraarticular cranial cruciate reconstruction (Kowaleski et al ); caudal cruciate reconstruction (Kowaleski et al ), and Achilles tendon reconstruction (Swiderski et al ).…”

Section: Discussionmentioning

confidence: 99%

Chest wall reconstruction with latissimus dorsi and an autologous thoracolumbar fascia graft in a dog

Battisti

Polton

Vries

et al. 2014

J of Small Animal Practice

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A new technique for autogenous chest wall reconstruction using a latissimus dorsi muscle flap and a free graft of thoracolumbar fascia was utilised in a two-year-old Dobermann after resection of a high-grade osteosarcoma from the left thoracic wall. En bloc excision of the chest wall mass, including six ribs, was performed. The resulting chest wall defect was too large to be reconstructed with only a pedicled muscle flap and was reconstructed with a latissimus dorsi muscle flap cranially and a free graft of thoracolumbar fascia caudally. The graft was harvested easily, and there was no donor site morbidity or postoperative complications. A free graft of thoracolumbar fascia can be considered as an option to supplement autogenous reconstruction of the chest wall.

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“…안구의 개방성 손상은 안구의 외벽을 구성하는 각막과 공 막에 열개가 발생되는 질환으로 주로 창상이나 종양에 의해 발생된다 (2,6,11). 공막의 대부분은 안와 안쪽에 위치하고 있 기 때문에 창상에 의한 개방성 손상은 주로 각막에 발생된다.…”

Section: 서 론unclassified

“…공막 파열 환자의 대부분은 시력을 잃게 되며 안구적출을 하는 경우가 대부분이다 (9,12). 개에서 파열된 공 막으로 탈출된 포도막을 절제하고, 대퇴근막으로 보강하여 수술적으로 교정한 증례가 보고된 바 있지만 (6)…”

Section: 고 찰unclassified

Successful Surgical Treatments of Scleral Rupture with Hyphema in a Young Cat

Park¹

2015

J Vet Clin

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A 3-month-old, female Persian cat was presented with sclera mass. The mass was detected after cat's squeals during the playing with a dog before 2 days. On ophthalmic examination, a 2 × 5 mm dark purple colored raised mass was observed 1 mm behind the limbus in the right eye. Anterior chamber was filled with blood and epithelial defect was detected at 2 o'clock in the right central cornea. After general anesthesia, resection of the protruded iris was performed with iris scissors and bipolar cautery. Ruptured sclera and conjunctiva were closed with simple interrupted and simple continuous suture, respectively. Also, irrigation and aspiration (I/A) of the anterior chamber was performed to remove blood clot with bimanual I/A handpiece in the right eye. Four months after the surgery, the right eye was recovered completely and menace response was positive in spite of the retinal lesions.

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Repair of a scleral defect with an autogenous fascia lata graft in a dog

Cited by 9 publications

References 22 publications

Penetrating sclerokeratoplasty and autologous pinnal cartilage and conjunctival grafting to treat a large limbal melanoma in a dog

Penetrating sclerokeratoplasty and autologous pinnal cartilage and conjunctival grafting to treat a large limbal melanoma in a dog

Chest wall reconstruction with latissimus dorsi and an autologous thoracolumbar fascia graft in a dog

Successful Surgical Treatments of Scleral Rupture with Hyphema in a Young Cat

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