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Related Experiment Videos

Bacterial corneoscleritis complicating pterygium excision.

P L Farrell1, R E Smith

  • 1Department of Ophthalmology, University of Southern California School of Medicine, Los Angeles.

American Journal of Ophthalmology
|May 15, 1989
PubMed
Summary

Pterygium excision can lead to severe bacterial infections like corneoscleritis and endophthalmitis, even after treatment. These rare but serious complications can cause significant vision loss.

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Area of Science:

  • Ophthalmology
  • Infectious Diseases

Background:

  • Pterygium excision is a common surgical procedure.
  • Postoperative management may involve beta irradiation or topical thiotepa.

Observation:

  • Two patients developed severe postoperative complications following pterygium excision.
  • Complications included bacterial corneoscleritis and endophthalmitis.
  • Onset occurred two and six weeks post-surgery.

Findings:

  • Infection caused by Streptococcus pneumoniae and Pseudomonas aeruginosa.
  • Aggressive treatment yielded poor visual outcomes in both cases.
  • Beta irradiation and topical thiotepa were used in postoperative management.

Implications:

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  • Pterygium excision complications, though infrequent, can be visually disabling.
  • Highlights the risk of severe infections post-pterygium surgery.
  • Emphasizes the need for vigilant monitoring and prompt management of postoperative complications.