Episcleral pseudomelanoma: late complication of scleral tunnel incision.
OBJECTIVE
To describe two patients who developed scleral thinning as a late complication of scleral tunnel incision for cataract extraction.


METHODS
Observational case report and interventional case report.


METHODS
A 75-year-old man had an asymptomatic gray-brown subconjunctival nodule in the location of the healed scleral tunnel incision for cataract surgery. A 62-year-old man had a biopsy of a brown conjunctival nodule at the site of a scleral tunnel incision for cataract surgery.


RESULTS
The 75-year-old patient with prolapsed uveal tissue was followed up for 4 years without change in the wound defect. The 62-year-old patient had a biopsy because the exposed ciliary body mimicked a melanoma.


CONCLUSIONS
Scleral defects with herniated uveal tissue as a late sequela of scleral tunnel incision for cataract surgery should be differentiated from melanoma and can be safely observed for years when covered by conjunctiva.
Margo
Curtis E
CE
Department of Ophthalmology, Watson Clinic, LLP, Lakeland, Florida 33805, USA. cmargo@watsonclinic.com
D000368:Aged; D001706:Biopsy; D002387:Cataract Extraction / Q000009:adverse effects*; D003937:Diagnosis, Differential; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008545:Melanoma / Q000175:diagnosis; D008875:Middle Aged; D011183:Postoperative Complications; D011391:Prolapse; D012590:Sclera / Q000601:surgery*; D015422:Scleral Diseases / Q000175:diagnosis*; D014603:Uveal Diseases / Q000175:diagnosis*