Sultan Dana, Alnema Othman, Sultan Mohamad Nour, Zahlouk Nadim, Kayyali Ammar
Department of Ophthalmology, Aleppo University Hospital, Aleppo, Syria.
Department of Ophthalmology, Aleppo University Hospital, Aleppo, Syria.
Int J Surg Case Rep. 2022 Jun;95:107223. doi: 10.1016/j.ijscr.2022.107223. Epub 2022 May 18.
We describe the management of a scleral thinning after uneventful pterygium surgery, it is an uncommon complication; in addition, we have reviewed similar published cases in the literature.
A 48-year-old woman presented with thinning sclera in the first week after pterygium excision surgery. Conservative treatment was the first line in the management. There was no improvement for two weeks, so we decided to do a rotational flap. We put a scleral dellen diagnosis by excluding other etiologies. The condition was successfully managed, the thinning sclera healed completely. Scleral and conjunctival re-surfacing was observed.
Scleral dellen is an early and rare postoperative complication after pterygium surgery. The diagnosis is confirmed after excluding other causes of scleral thinning. The exact pathophysiology of it is not determined yet, many authors described probable explanation in their published cases. We did a comprehensive review of similar cases with their management.
Scleral dellen is uncommon complication after pterygium surgery, its diagnosis depends on exclusion. The management can be conservative. However, if no progression was detected do not hesitate going for surgical closure.
我们描述了翼状胬肉手术顺利完成后巩膜变薄的处理情况，这是一种罕见的并发症；此外，我们还回顾了文献中已发表的类似病例。
一名48岁女性在翼状胬肉切除术后第一周出现巩膜变薄。保守治疗是首要的处理方法。两周后病情无改善，因此我们决定进行旋转皮瓣手术。通过排除其他病因，我们诊断为巩膜缺损。病情得到成功处理，变薄的巩膜完全愈合。观察到巩膜和结膜重新上皮化。
巩膜缺损是翼状胬肉手术后一种早期且罕见的术后并发症。在排除巩膜变薄的其他原因后可确诊。其确切的病理生理学尚未明确，许多作者在已发表的病例中描述了可能的解释。我们对类似病例及其处理方法进行了全面回顾。
巩膜缺损是翼状胬肉手术后罕见的并发症，其诊断依赖于排除法。处理方法可以是保守的。然而，如果未发现病情进展，应毫不犹豫地进行手术闭合。
