Scleral melting 16 years after pterygium excision with topical Mitomycin C adjuvant therapy.
OBJECTIVE
To report a case of scleral melting noted 16 years after pterygium excision with postoperative adjuvant topical Mitomycin C (MMC).


METHODS
Case report.


RESULTS
A 61-year-old Malay gentleman underwent right nasal pterygium excision using bare sclera technique followed by topical MMC 0.1% for a week, 16 years ago. He was noted to have a right nasal scleral thinning with calcified plaque and granuloma. He was successfully treated conservatively without further progression of the scleral melting.


CONCLUSIONS
Long-term complication of pterygium excision with adjuvant topical Mitomycin C may occur. The case shows that early detection and recognition of the complication can be sight saving.
Wan Norliza
W M
WM
Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. wannorliza@yahoo.com <wannorliza@yahoo.com>
Raihan
I Siti
IS
Azwa
J Azlyn
JA
Ibrahim
M
M
D006801:Humans; D008297:Male; D008875:Middle Aged; D016685:Mitomycin / Q000008:administration & dosage* / Q000627:therapeutic use; D019384:Nucleic Acid Synthesis Inhibitors / Q000008:administration & dosage* / Q000627:therapeutic use; D009883:Ophthalmic Solutions; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D011183:Postoperative Complications; D011625:Pterygium / Q000188:drug therapy* / Q000601:surgery*; D015422:Scleral Diseases / Q000209:etiology* / Q000473:pathology; D013997:Time Factors
D019384:Nucleic Acid Synthesis Inhibitors; D009883:Ophthalmic Solutions; D016685:Mitomycin