title: Acquired melanosis of a conjunctival autograft following pterygium surgery.
abstract: Pterygium excision with conjunctival autografting is an established surgical treatment for symptomatic pterygia. Documented complications include wound dehiscence, Tenon's granuloma, inclusion cysts, graft oedema, and corneoscleral dellen. We illustrate a previously unreported complication of this technique. A 41 year old Sri Lankan man presented with selective hyperpigmentation of the conjunctival autograft approximately three months following pterygium excision. The possible biological mechanisms behind this complication are discussed.
authors.affiliation: Department of Ophthalmology, East Surrey Hospital, Redhill RH1 5RH, United Kingdom. pereras@eyeview.fsnet.co.uk
authors.forename: Sumith
authors.initials: S
authors.lastname: Perera
authors.forename: Anish N
authors.initials: AN
authors.lastname: Shah
authors.forename: Lola
authors.initials: L
authors.lastname: Lawuyi
mesh_terms: D000328:Adult; D003228:Conjunctiva / Q000637:transplantation*; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D008548:Melanosis / Q000175:diagnosis* / Q000209:etiology*; D011625:Pterygium / Q000601:surgery*