무세포성 진피동종이식편을 이용한 무안구증 결막낭성형술

Anophthalmic Conjunctival Sac Reconstruction using Acellular Dermal Allograft

Purpose: To investigate the clinical results and safety of the acellular dermal allograft (SureDerm?, Hans Biomed co., Korea) as a new spacer graft in anophthalmic socket contracture. Methods: We grafted SureDerm? as the replacing spacer in 8 patients for the treatment of anophthalmic socket contracture. Under local anesthesia, SureDerm? was sutured at the levator aponeurosis and upper margin of the tarsus using 6-0 Vicryl in the upper lid. In the lower lid, SureDerm? was sutured at the tarsal conjunctiva and lower margin of the incised conjunctiva. The patients were followed-up individually for 6 to 15 months. Results: Surgical results in all 8 eyelids (6 lower lids, 2 upper lids) were satisfactory. The grafted SureDerm? survived in all patients with little contracture. There were no other complications such as infection, rejection, or exposure. Conclusions: We consider SureDerm? a good replacing spacer material for the treatment of anophthalmic socket contracture.