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When an Easy Thing Goes Wrong: Foreign Body Induced Granuloma-Associated Scleritis Following Pterygium Surgery.
Case Rep Ophthalmol. 2017 Jan-Apr; 8(1):195-199.CR

Abstract

PURPOSE

To report a case of pterygium surgery with conjunctival autograft followed by focal necrotizing scleritis due to foreign body entrapment in the scleral bed.

CASE REPORT/RESULTS

This is a case report of a 76-years-old male patient who underwent nasal pterygium surgery and developed focal necrotizing scleritis secondary to foreign body entrapment under conjunctival autograft. One month following surgery, slit-lamp examination demonstrated a progressive thinning of the surgical area with focal inflammatory signs. A small synthetic fiber was identified to be trapped under the graft. A second intervention was performed with foreign body removal and a new conjunctival graft. Despite the surgery, focal scleral melting continued to progress and the patient was placed under systemic corticotherapy and submitted to amniotic membrane graft with epithelial side up. During the follow-up period there was a good tissue response.

CONCLUSION

Despite being a safe and quick procedure, pterygium surgery can sometimes elicit new challenges.

Authors+Show Affiliations

Department of Ophthalmology, Hospital Pedro Hispano, Matosinhos, Portugal.Department of Ophthalmology, Hospital Pedro Hispano, Matosinhos, Portugal.Department of Ophthalmology, Hospital Pedro Hispano, Matosinhos, Portugal.Department of Ophthalmology, Hospital Pedro Hispano, Matosinhos, Portugal.Department of Ophthalmology, Hospital Pedro Hispano, Matosinhos, Portugal.Department of Ophthalmology, Hospital Pedro Hispano, Matosinhos, Portugal.Department of Ophthalmology, Hospital Pedro Hispano, Matosinhos, Portugal.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

28512421

Citation

Coelho, Pedro, et al. "When an Easy Thing Goes Wrong: Foreign Body Induced Granuloma-Associated Scleritis Following Pterygium Surgery." Case Reports in Ophthalmology, vol. 8, no. 1, 2017, pp. 195-199.
Coelho P, Menezes C, Rodrigues P, et al. When an Easy Thing Goes Wrong: Foreign Body Induced Granuloma-Associated Scleritis Following Pterygium Surgery. Case Rep Ophthalmol. 2017;8(1):195-199.
Coelho, P., Menezes, C., Rodrigues, P., Gonçalves, R., Maio, T., Moreira, J., & Tenedório, P. (2017). When an Easy Thing Goes Wrong: Foreign Body Induced Granuloma-Associated Scleritis Following Pterygium Surgery. Case Reports in Ophthalmology, 8(1), 195-199. https://doi.org/10.1159/000464402
Coelho P, et al. When an Easy Thing Goes Wrong: Foreign Body Induced Granuloma-Associated Scleritis Following Pterygium Surgery. Case Rep Ophthalmol. 2017 Jan-Apr;8(1):195-199. PubMed PMID: 28512421.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - When an Easy Thing Goes Wrong: Foreign Body Induced Granuloma-Associated Scleritis Following Pterygium Surgery. AU - Coelho,Pedro, AU - Menezes,Carlos, AU - Rodrigues,Pedro, AU - Gonçalves,Rita, AU - Maio,Tiago, AU - Moreira,Jorge, AU - Tenedório,Paula, Y1 - 2017/03/30/ PY - 2016/12/15/received PY - 2017/02/22/revised PY - 2017/5/18/entrez PY - 2017/5/18/pubmed PY - 2017/5/18/medline KW - Amniotic membrane KW - Anterior scleritis KW - Iatrogenic scleritis KW - Pterygium surgery SP - 195 EP - 199 JF - Case reports in ophthalmology JO - Case Rep Ophthalmol VL - 8 IS - 1 N2 - PURPOSE: To report a case of pterygium surgery with conjunctival autograft followed by focal necrotizing scleritis due to foreign body entrapment in the scleral bed. CASE REPORT/RESULTS: This is a case report of a 76-years-old male patient who underwent nasal pterygium surgery and developed focal necrotizing scleritis secondary to foreign body entrapment under conjunctival autograft. One month following surgery, slit-lamp examination demonstrated a progressive thinning of the surgical area with focal inflammatory signs. A small synthetic fiber was identified to be trapped under the graft. A second intervention was performed with foreign body removal and a new conjunctival graft. Despite the surgery, focal scleral melting continued to progress and the patient was placed under systemic corticotherapy and submitted to amniotic membrane graft with epithelial side up. During the follow-up period there was a good tissue response. CONCLUSION: Despite being a safe and quick procedure, pterygium surgery can sometimes elicit new challenges. SN - 1663-2699 UR - https://www.unboundmedicine.com/medline/citation/28512421/When_an_Easy_Thing_Goes_Wrong:_Foreign_Body_Induced_Granuloma-Associated_Scleritis_Following_Pterygium_Surgery L2 - https://www.karger.com?DOI=10.1159/000464402 DB - PRIME DP - Unbound Medicine ER -
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