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Can restrictive strabismus and diplopia result from pterygium surgery?

Poster Details

First Author: V.Konidaris GREECE

Co Author(s):    E. Kanonidou   C. Kanonidou   E. Lokovitis   I. Zampros   L. Papazisis  

Abstract Details



Purpose:

Pterygium is a benign wing shaped fibrovascular conjunctival growth with invades cornea. The main method of treatment is surgical excision. We report a case which demonstrated eye movement restriction and diplopia as complication of pterygium surgery.

Setting:

Department of Ophthalmology, General Hospital of Veria, Veria, Greece.

Methods:

62 year old male presented at the outpatient department due to pterygium of his left eye. His complains were related to recurrent inflammation, significant discomfort, cosmetic disfigurement and visual impairment due to astigmatism related to advanced pterygium invading visual axis. He was scheduled for pterygium removal with surgery. The surgery was performed with simple excision with direct closure and bare sclera technique.

Results:

The patient failed to attend the regular follow up. Two months later he presented at the outpatient department complaining of double vision. On the eye movement examination there was a restriction of the abduction of left eye related to adhesion arise between cornea and palpebral conjunctiva close to medial canthus. The adhesion was cut surgically and the double vision was resolved.

Conclusions:

The concerns related to pterygium surgery are recurrence, scarring and potentially uncorrected vision due to surgically induced astigmatism. Our case demonstrated that eye movement restriction and diplopia should also be considered as potential complication of pterygium surgery. FINANCIAL INTEREST: NONE

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