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Indian J Ophthalmol. 2020 Jan;68(1):221-223. doi: 10.4103/ijo.IJO_671_19.

Oral mucosa for reconstructive surgery in a case of severe inflammatory necrotizing sclero-uveitis.

Author information

1
Universitat Internacional de Catalunya, Facultad de Medicina, Campus Sant Cugat; Centro de Oftalmología Barraquer, Instituto Universitario Barraquer, Universitat Autònoma de Barcelona, Barcelona, Spain.
2
Centro de Oftalmología Barraquer, Instituto Universitario Barraquer, Universitat Autònoma de Barcelona, Barcelona, Spain.

Abstract

The purpose of this case is to show the efficacy of buccal mucosa as an alternative to treat a case of severe necrotizing sclero-uveitis (NSU) associated with ocular perforation. We show a severe inflammatory NSU case that did not improve with topical treatment and scleral patch. We performed a buccal mucosa graft taken from the lower lip with excellent functional and anatomical result, with no signs of relapse of the NSU after 2 years of follow-up. Buccal mucosa can be a safe, useful, and effective alternative for the reconstruction of the scleral wall.

KEYWORDS:

Amniotic membrane transplantation; buccal mucosa; necrotizing scleritis; necrotizing sclero-uveitis; oral mucosa

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