Bulbar ligneous conjunctivitis after pterygium removal in an elderly man.
Ligneous conjunctivitis occurred unilaterally in a 74-year-old man after pterygium excision and only involved the bulbar conjunctiva. Histochemical studies confirmed the presence of mucopolysaccharides in the lesion sensitive to hyaluronidase. The patient was treated successfully with topical hyaluronidase and alpha-chymotrypsin, with no recurrence 20 months after cessation of therapy.
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002918:Chymotrypsin / Q000627:therapeutic use; D003231:Conjunctivitis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D003646:Debridement; D006801:Humans; D006821:Hyaluronoglucosaminidase / Q000627:therapeutic use; D008297:Male; D009883:Ophthalmic Solutions / Q000627:therapeutic use; D011183:Postoperative Complications / Q000209:etiology*; D011625:Pterygium / Q000601:surgery*; D012008:Recurrence
D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D009883:Ophthalmic Solutions; D006821:Hyaluronoglucosaminidase; D002918:Chymotrypsin