翼状胬肉切除联合局部丝裂霉素C辅助治疗16年后的巩膜溶解
Scleral melting 16 years after pterygium excision with topical Mitomycin C adjuvant therapy.
作者信息
Wan Norliza W M, Raihan I Siti, Azwa J Azlyn, Ibrahim M
机构信息
Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia.
出版信息
Cont Lens Anterior Eye. 2006 Sep;29(4):165-7. doi: 10.1016/j.clae.2006.08.001. Epub 2006 Aug 30.
PURPOSE
To report a case of scleral melting noted 16 years after pterygium excision with postoperative adjuvant topical Mitomycin C (MMC).
METHOD
Case report.
RESULTS
A 61-year-old Malay gentleman underwent right nasal pterygium excision using bare sclera technique followed by topical MMC 0.1% for a week, 16 years ago. He was noted to have a right nasal scleral thinning with calcified plaque and granuloma. He was successfully treated conservatively without further progression of the scleral melting.
CONCLUSION
Long-term complication of pterygium excision with adjuvant topical Mitomycin C may occur. The case shows that early detection and recognition of the complication can be sight saving.
目的
报告1例翼状胬肉切除术后使用辅助性局部丝裂霉素C（MMC）16年后出现巩膜溶解的病例。
方法
病例报告。
结果
16年前，一名61岁的马来族男性患者采用巩膜裸露技术行右侧鼻侧翼状胬肉切除术，随后使用0.1%的局部MMC一周。发现他右侧鼻侧巩膜变薄，伴有钙化斑块和肉芽肿。他接受保守治疗成功，巩膜溶解未进一步发展。
结论
翼状胬肉切除联合辅助性局部丝裂霉素C可能会出现长期并发症。该病例表明，早期发现和识别这种并发症可挽救视力。
Zotero 插件