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Pterygium resection with conjunctival autograft in a young child with xeroderma pigmentosum
1Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Insights
Conjunctival autograft (CAG) surgery successfully managed a rapidly growing pterygium in a young child with xeroderma pigmentosum. This pterygium treatment showed no recurrence at 12 months, preserving vision.
Area of Science:
- Ophthalmology
- Genetics
Background:
- Pterygia are common, potentially vision-impairing growths.
- Xeroderma pigmentosum (XP) presents unique challenges in pediatric eye care due to extreme photosensitivity.
Observation:
- A 3-year-old boy diagnosed with xeroderma pigmentosum presented with a rapidly progressing pterygium.
- The patient underwent surgical excision of the pterygium.
Findings:
- Conjunctival autograft (CAG) was utilized following pterygium resection.
- Post-operative follow-up at 12 months revealed complete healing without any pterygium recurrence.
- Visual acuity remained excellent at 6/6.
Implications:
- Surgical management of pterygium with CAG is a safe and effective option for pediatric patients, even those with complex genetic conditions like XP.
- This approach offers a viable solution for preserving vision in young children affected by pterygia.
Purpose:
To describe the successful management of a pterygium with resection and conjunctival autograft (CAG) in a 3-year-old boy with xeroderma pigmentosum.
Methods:
A 3-year-old boy with xeroderma pigmentosum underwent primary resection and CAG for a rapidly growing pterygium.
Results:
At 12-month follow-up, the surgical site was well healed without recurrence and vision remained at 6/6.
Conclusion:
Pterygium resection with CAG is a viable option in young children.
