Dr. ANJALI SAIGHAL

Dr. ANJALI SAIGHAL

Abstract

Autologous fascia lata has been used in ophthalmology since the early twentieth century; as a sling material in ptosis surgery for patients aged above three years, as a spacer in thyroid eye disease, as patch grafts for reinforcing scleral buckles, collar for keratoprosthesis, and many others. We have used fascia lata in rarely reported situations; for patching post operative uveal proplase and thinned blebs as documented in this poster photo series. Currently only few reports describe its use – mainly in scleral thinning or melts. It is easy to harvest from the side of the thigh, obviates the need for banked sclera, and avoids graft host rejection. It is firm, durable, easily cut and well assimilated into tissues with only slight shrinkage. In recent years, materials like banked sclera are far more commonly used chiefly as patch grafts. Keeping in mind the risk of disease transmission in the current Covid era, it may be important to revert more to the safe and versatile fascia lata.