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Br J Ophthalmol 1997;81:513 doi:10.1136/bjo.81.6.e513
  • Letter to the Editor

Anterior segment ischaemia after excision of conjunctival squamous cell carcinoma

  1. AMAL I AL-HEMIDAN,
  2. SELWA A F AL-HAZZAA,
  3. SAAD A AL-HADDAB
  1. Department of Ophthalmology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
  1. Selwa A F Al-Hazzaa, MD, Department of Ophthalmology (MBC-40), King Faisal Specialist Hospital and Research Centre, PO Box 3354, Riyadh 11211, Saudi Arabia.
  • Accepted 12 February 1997

Editor,—Anterior segment ischaemia was first described by Schmidt1 in 1874 and later by Hayreh2 in 1979. It is a serious complication of squint3 and retinal detachment4 surgery. We present an elderly patient who developed anterior segment ischaemia after excision of conjunctival in situ squamous cell carcinoma. To our knowledge, this is the first reported case.

CASE REPORT

A 68-year-old Saudi man presented with a mass at the temporal limbus of the right cornea. He had previously undergone excision of a pterygium and a trabeculectomy in the same eye.

The patient’s medical history was suggestive of atrial fibrillation. Echocardiography showed no abnormalities and he was not receiving any treatment for cardiac disorders. Systemic examination was normal. Best corrected visual acuity was …

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