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Severe Complication of Pterygium Surgery: Diagnosis and Treatment of an Observation

DOI : https://doi.org/10.36349/easms.2022.v05i12.005
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Pterygium is a frequent pathology that affects the appendages of the eye. It is a degenerative fibrovascular lesion of the bulbar conjunctiva appearing in the palpebral fissure and extending over the cornea, mainly in the nasal region [1]. It is frequently found in tropical regions [1]. Most are asymptomatic but can lead to eye morbidity associated with aesthetic consequences. Its symptomatology is dominated by irritation, watering, tingling, and discomfort. Decreased visual acuity is related to flooding, lamella penetration, and corneal deformation [2-4]. His treatment remains surgery. Several techniques are described such as simple excision, excision with graft (auto, amniotic membrane), use of adjuvants, and Beta irradiation [5, 6]. Complications remain rare but formidable. Management varies according to schools and availability. The most severe constitute perforation with often recourse to keratoplasty.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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