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Br J Ophthalmol 86:357-358 doi:10.1136/bjo.86.3.357
  • Letter

Serious corneoscleral complications after pterygium excision with mitomycin C

Table 1
No Age/sex/race Presenting symptom Clinical finding Treatment Preop VA v postop Outcome
1 50/M/white Blurred vision, dust sensation Limbal perforation with iris incarceration in the wound Tectonic corneal graft 6/9+ SC 6/24 CPH Good graft adaptation. No recurrence of pterygium after 12 weeks
2 37/M/white Cosmetic disturbance Scleral nasal melting (3 mm × 2 mm) Trial at conservative topical treatment failed. Autologous conjuctival graft 6/9+ SC 6/12+ SC Good graft adaptation at last follow up
3 70/M/white Pterygium covering the pupil visual axis Scleral temporal melting (3 mm × 3 mm) Trial at conservative topical treatment failed. Conjuctival flap 6/24 pt CC 6/36 pt CC Blood vessels growth towards the bare sclera with re-epithelisation. No recurrence of pterygium after 12 weeks

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