ESCRS - P118 - ENUCLEATION FOR PTERYGIUM- EXCISION COMPLICATION! THE WORST SCENARIO

ENUCLEATION FOR PTERYGIUM- EXCISION COMPLICATION! THE WORST SCENARIO

Published 2022 - 26th ESCRS Winter Meeting

Reference: P118 | Type: Abstracts | DOI: 10.82333/kxc6-fw73

Authors: Pejvak Azadi* 1

1kermanshah university of medical science,kermanshah university of medical science,kermanshah,Iran, Islamic Republic Of

Purpose

to describe a case of Mitomycin C (MMC) - assisted- pterygium excision, ended in fungal aspergillus fumigatus endophthalmitis, which despite all efforts enucleated eventually.

Setting

eye clinic of the university hospital

Methods

Retrospective evaluation of the patient medical records.

Results

:  A 55 year-old man referred for the left eye aggravating pain and decreasing vision since one week ago. He had a history of pterygium removal about 3 weeks ago. Examination revealed a displaced free conjunctival flap, scleritis with necrosis and melting, corneal ulcer and severe endophthalmitis. Emergent treatments including deep vitrectomy was done for the patient and with finding the aspergillus fumigatus as the responsible organism, appropriate treatment added too. Weeks later and due to nearly perforating corneal ulcer with impending to evisceration, and severe debilitating symptoms, the globe enucleated completely.

Conclusion

while pterygium excision is generally a well tolerated easily performed surgery, care must be taken especially when an adjuvant like MMC is applicated too.