Subconjunctival fibrosis after conjunctival autograft.
While largely successful, the use of a conjunctival autograft in the exposed scleral bed following a pterygium excision can result in postoperative complications. We report two cases of a previously undescribed complication: subconjunctival fibrosis at the harvest site of the graft. In one case, the fibrosis caused an asymptomatic, purely cosmetic defect; however, in the other case, the scar tissue constricted the extraocular movement with resultant diplopia. We call attention to this complication as it can affect visual function; we discuss its management and prevention.
Department of Surgery, University of Vermont College of Medicine, Burlington.
M P
MP
Vrabec
R W
RW
Weisenthal
S H
SH
Elsing
D000293:Adolescent; D003228:Conjunctiva / Q000473:pathology* / Q000637:transplantation*; D005355:Fibrosis / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011625:Pterygium / Q000601:surgery; D014182:Transplantation, Autologous / Q000009:adverse effects