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Br J Ophthalmol 2002;86:1316-1317 doi:10.1136/bjo.86.11.1316-a
  • Letter

Amniotic membrane transplantation for necrotising conjunctival ulceration following subconjunctival atropine injection

  1. K Y Seo,
  2. C Y Kim,
  3. J H Lee,
  4. J B Lee,
  5. E K Kim
  1. Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea
  1. Correspondence to: Eung Kweon Kim, MD, Institute of Vision Research, Department of Ophthalmology, Brain Korea 21 Project, Division of Medical Sciences, Yonsei University College of Medicine, 134 Shinchon-dong, Sodaemun-gu, Seoul, Korea, 120-752; eungkkim{at}yumc.yonsei.ac.kr
  • Accepted 8 May 2002

Conjunctival necrosis has been previously reported after subconjunctival injection of several antimicrobial agents and corticosteroids.1–3 Atropine is used widely as a form of eyedrops for mydriasis, cycloplegia, and pain and inflammation control. We describe a patient who developed severe conjunctival necrosis associated with scleral melting after subconjunctival atropine injection and which was treated by amniotic membrane transplantation.

Case report

A 30 year old male patient visited our clinic because of severe pain and redness in his left eye for a day. He had recently been diagnosed with uveitis associated with circular posterior synechiae in his left eye, and which was managed by his previous physician with a subconjunctival injection of 0.4 ml …

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