Abstract

This case report presents the case of a 60-year-old man who underwent autologous lamellar scleral patch graft (SPG) repair for a large posterior pole scleral defect during pars plana vitrectomy (PPV). Initially, the patient experienced a perforating air rifle pellet injury, necessitating suturing of the entry wound. Six days later, lensectomy and PPV were performed for traumatic cataract, removal of an intraocular foreign body, dense vitreous hemorrhage, and retinal detachment. During PPV, a significant full-thickness scleral defect was found at the posterior pole and repaired using a 3.5 mm × 4.5 mm autologous lamellar SPG sourced from the superotemporal superficial sclera. Postoperatively, the graft fully adhered to the adjacent sclera without complications such as silicone oil leakage or inflammation. This case marks the first instance of utilizing an autologous lamellar SPG for such a large posterior pole defect during PPV, showcasing its effectiveness and safety for such challenging conditions.

Keywords

Publication details

DOI
10.4103/ojo.ojo_104_24
Journal
Oman Journal of Ophthalmology, 18(1), 77-80
Publisher
Medknow Publications
Open access
Gold open access

Cite this article

APA 7

Doganay, S., Kiristioglu, M. O., & Gunduz, G. U. (2025). A novel surgical technique: "Ab interno" autologous lamellar scleral patch for a large traumatic scleral defect at the posterior pole. Oman Journal of Ophthalmology, 18(1), 77-80. https://doi.org/10.4103/ojo.ojo_104_24

MLA 9

Doganay, Selim, et al. "A novel surgical technique: "Ab interno" autologous lamellar scleral patch for a large traumatic scleral defect at the posterior pole." Oman Journal of Ophthalmology, vol. 18, no. 1, 2025, pp. 77-80. https://doi.org/10.4103/ojo.ojo_104_24.

Chicago (author–date)

Doganay, Selim, Mehmet Omer Kiristioglu, and Gamze Ucan Gunduz. 2025. "A novel surgical technique: "Ab interno" autologous lamellar scleral patch for a large traumatic scleral defect at the posterior pole." Oman Journal of Ophthalmology 18 (1): 77-80. https://doi.org/10.4103/ojo.ojo_104_24.

Harvard

Doganay, S., Kiristioglu, M. O. and Gunduz, G. U. (2025) 'A novel surgical technique: "Ab interno" autologous lamellar scleral patch for a large traumatic scleral defect at the posterior pole', Oman Journal of Ophthalmology, 18(1), pp. 77-80. doi:10.4103/ojo.ojo_104_24.

Vancouver

Doganay S, Kiristioglu MO, Gunduz GU. A novel surgical technique: "Ab interno" autologous lamellar scleral patch for a large traumatic scleral defect at the posterior pole. Oman Journal of Ophthalmology. 2025;18(1):77-80. doi:10.4103/ojo.ojo_104_24

IEEE

S. Doganay, M. O. Kiristioglu, and G. U. Gunduz, "A novel surgical technique: "Ab interno" autologous lamellar scleral patch for a large traumatic scleral defect at the posterior pole," Oman Journal of Ophthalmology, vol. 18, no. 1, pp. 77-80, 2025, doi: 10.4103/ojo.ojo_104_24.