Scleral grafting is surgery that uses donor or autologous scleral tissue to reinforce or repair areas of thinning, perforation, or defect in the white of the eye. It provides structural support and protection for underlying tissues.
Indications
Causes requiring scleral grafting include necrotising scleritis, surgical complications, trauma, previous buckle or tube exposure, and severe thinning from degenerative or inflammatory disease. The graft covers the weakened area to prevent rupture or further damage.
- Donor sclera is often sourced from an eye bank and shaped to fit the defect
- The graft is sutured in place and covered with conjunctiva where possible
- Alternative materials such as pericardium or synthetic patches may be used
- Systemic disease control is vital when inflammation underlies the thinning
Post-Operative Care
Patients use topical antibiotics and steroids to promote healing and control inflammation. Regular follow‑up checks graft integration, vascularisation, and any recurrence of underlying disease.
- Grafts can remain visible but usually blend well over time
- Complications include infection, graft melt, or recurrence of thinning at the edges
- Protective eyewear may be recommended in eyes at risk of trauma
- Successful scleral grafts can preserve globe integrity and maintain vision potential
