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104. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft 2006
Abstract
Abstract
DO.13.04 Scleromalacia associated with restricted ocular motility in a 66-year-old patient subsequent to extensive ocular surgery Pogorelov P., Kern T., Kruse F. E., Holbach L. M.
Dept. of Ophthalmology, University of Erlangen-Nuremberg, Germany Objective: To document clinical and histopathologic findings in a patient with scleromalacia and severe restriction of ocular motility following multiple ocular surgeries.
Methods: Case report of a 66-year-old female who developed scleromalacia subsequent to extensive ocular surgery.
Patient: The patient presented with band keratopathy, corneal edema and darkly pigmented areas of scleral thinning temporally to the limbus OD. Visual acuity was light perception OD and 20/30 OS. History revealed multiple ocular surgeries including scleral buckling procedure and cryotherapy due to a retinal tear 3 years ago, removal of the buckle due to bacterial infection, excision of a conjunctival inclusion cyst, pars plana vitrectomy with silicone oil tamponade and cataract surgery.
Results: There was no evidence of rheumatoid arthritis or other immunological disorder. Due to progressively enlarging scleromalacia-like areas associated with increasingly restricted ocular motility and episodes of pain, enucleation OD was performed with an orbital implant. Histopathologically, extensive conjunctival scarring with massive scleral thinning, spreading intrascleral proliferation of the retinal pigment epithelium and peribulbar conjunctival epithelial cell invasion of the orbit were found. There was no evidence of sympathetic ophthalmia.
Conclusions: The above patient presented with progressive scleral thinning, hyperpigmentation and restricted ocular motility due to marked conjunctival scarring and diffuse conjunctival downgrowth of the orbit following extensive ocular surgery.
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