{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T21:26:50Z","timestamp":1783114010816,"version":"3.54.6"},"reference-count":16,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. To evaluate the efficacy of autologous tenon grafting combined with conjunctival flap as a treatment for scleromalacia or scleral thinning after pterygium excision without any additional donor graft tissue.<jats:italic> Methods<\/jats:italic>. Twenty-six cases underwent autologous advanced tenon grafting combined with sliding or rotating conjunctival flap for scleromalacia after pterygium surgery ranging from 2 years to 30 years. The extent of scleral defect measured from 2.0\u2009mm to 6.8\u2009mm in diameter. The cosmetic outcome was defined as complete resolution of scleromalacia or completely conjunctival reepithelialization and firm adhesion between subtenon and scleral tissue over scleral thinning without significant complications.<jats:italic> Results<\/jats:italic>. All cases achieved the covering of conjunctival and tenon or subtenon tissue over scleromalacia or scleral thinning with this procedure. Preoperative pain, inflammation, and choroidal exposure disappeared after surgery. Immediate postoperative complications, such as large wound dehiscence or reopening of the scleral wound, did not occur in any of the patients. There were no significant clinical complications during the mean postoperative follow-up period of 14.17 months in all cases.<jats:italic> Conclusions<\/jats:italic>. We obtained excellent outcome with fewer complications after autologous advanced tenon graft and conjunctival flap, without an additional donor graft, in scleromalacia or scleral thinning caused by previous pterygium excision.<\/jats:p>","DOI":"10.1155\/2015\/547276","type":"journal-article","created":{"date-parts":[[2015,4,23]],"date-time":"2015-04-23T18:19:21Z","timestamp":1429813161000},"page":"1-6","source":"Crossref","is-referenced-by-count":16,"title":["Autologous Advanced Tenon Grafting Combined with Conjunctival Flap in Scleromalacia after Pterygium Excision"],"prefix":"10.1155","volume":"2015","author":[{"given":"Jong Soo","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, School of Medicine, Pusan National University and Medical Research Institute of Pusan National University Hospital, Busan 602-739, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Kyu","family":"Shin","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, School of Medicine, Pusan National University and Medical Research Institute of Pusan National University Hospital, Busan 602-739, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Ho","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, School of Medicine, Pusan National University and Medical Research Institute of Pusan National University Hospital, Busan 602-739, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Min","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Yangsan Pusan National University Hospital, Yangsan 626-870, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Dermatology, School of Medicine, Pusan National University and Medical Research Institute of Pusan National University Hospital, Busan 602-739, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.84.9.1050"},{"key":"2","first-page":"563","volume":"104","year":"1997","journal-title":"Ophthalmology"},{"issue":"1, article 151","key":"3","volume":"126","year":"1998","journal-title":"American Journal of Ophthalmology"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(92)31749-x"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(89)32892-2"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1983.01040010264017"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1977.04450110132017"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(88)90003-7"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1097\/00004397-199903910-00011"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(68)91293-2"},{"issue":"2","key":"11","first-page":"139","volume":"9","year":"1990","journal-title":"Cornea"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.77.6.327"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1038\/eye.1999.215"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/s0161-6420(03)00260-4"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1097\/00003226-199807000-00009"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1002\/(sici)1097-4652(199906)179:3lt;325::aid-jcp10x0003e;3.0.co;2-x"}],"container-title":["Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2015\/547276.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2015\/547276.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/joph\/2015\/547276.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,12,26]],"date-time":"2016-12-26T16:08:21Z","timestamp":1482768501000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/joph\/2015\/547276\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":16,"alternative-id":["547276","547276"],"URL":"https:\/\/doi.org\/10.1155\/2015\/547276","relation":{},"ISSN":["2090-004X","2090-0058"],"issn-type":[{"value":"2090-004X","type":"print"},{"value":"2090-0058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}