Dr.Sasikala Nindra Krishna
Background Patch graft to cover sclerocorneal defect is known
Purpose : We report a series of scleral melting after pterygium surgery with their management .
Materials and method: Twenty eyes with post pterygium surgery scleral melting were subjected to sclero corneal patch graft.
Results: Pre operatively scleral melt and epithelial defect were seen in all and infection in two. Recurrence of melting/on leading to severe graft necrosis in 3, two managed successfully and one eye was lost.
Conclusion
This case series, the largest in world literature, revealed corneo scleral patch graft is a suitable approach to preserve globe integrity in severe scleral melting after pterygium surgery.
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