Dr.Neeta Pal
40yrs old lady came with complaints of occasional pain in her LE over past 7 yrs. She had history of pterygium excision in LE 7 yrs back.Her best corrected visual acuity in BE was 20/20.On examination, RE showed nasal pterygium and LE showed severe scleral thinning in the site of previous pterygium excision. There were no systemic diseases &no history of trauma.No records of the previous surgery with the patient.Diagnosis:RE Gr 1 Nasal pterygium,LE: post pterygium scleral melt.She was successfully treated with scleral lamellar patch graft with fibrin glue.Donor tissue was pasted to the thinned sclera with fibrin glue and anchored with three nylon monofilament sutures.At 3 months postop, she was symptomatically fine with well apposed scleral graft.No data available in literature regarding scleral patch graft with fibrin glue for management of post pterygium scleral thinning. Its add on advantages are early postop healing, more patient comfort and better cosmetic appearance.
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