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Episcleral pseudomelanoma: late complication of scleral tunnel incision
1Department of Ophthalmology, Watson Clinic, LLP, Lakeland, Florida 33805, USA. cmargo@watsonclinic.com
Purpose:
To describe two patients who developed scleral thinning as a late complication of scleral tunnel incision for cataract extraction.
Design:
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.
