Eye Center, The Second Affiliated Hospital of Zhejiang University School of Medicine, 88 Jiefang Road, Hangzhou, China.
Medicine (Baltimore). 2021 Apr 9;100(14):e25348. doi: 10.1097/MD.0000000000025348.
Pterygium is a common chronic ocular surface condition in ophthalmology.At present, the main treatment modality is surgical resection. Although the recurrence rate can be controlled to varying degrees, some patients can still develop serious complications, such as scleral melting, corneal melting, and even corneal perforation.We report a case of severe corneal and scleral melting after pterygium surgery treated with a bandage lens.
A 60-year-old male who developed corneoscleral melting after pterygium surgery.
This patient was diagnosed with corneoscleral melting.
This patient was treated with a bandage lens and eye drops.
He was treated with a bandage lens, and the tear break-up time (BUT) was prolonged. After 12 days the cornea and sclera were completely cured and the bandage lens was removed after one month.
After pterygium surgery, various factors affect the occurrence of serious complications of autolysis. Mainly on ocular parts, such as the cornea and sclera, a bandage lens can stabilize the ocular surface tear film and prolong the tear break-up time (BUT), effectively prevent corneoscleral melting and promote corneoscleral cure.
翼状胬肉是眼科常见的慢性眼表疾病。目前主要的治疗方式是手术切除。虽然可以在不同程度上控制复发率，但仍有部分患者会出现严重的并发症，如巩膜融化、角膜融解，甚至角膜穿孔。我们报告一例翼状胬肉手术后因绷带镜治疗导致严重的角膜和巩膜融解的病例。
一名 60 岁男性，在翼状胬肉手术后发生角巩膜融解。
该患者被诊断为角巩膜融解。
该患者接受了绷带镜和眼药水治疗。
他接受了绷带镜治疗，泪膜破裂时间（BUT）延长。12 天后，角膜和巩膜完全治愈，一个月后取出绷带镜。
翼状胬肉手术后，多种因素影响自溶严重并发症的发生。主要发生在眼部，如角膜和巩膜，绷带镜可以稳定眼表面泪膜，延长泪膜破裂时间（BUT），有效预防角巩膜融解，促进角巩膜愈合。
