The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
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Scleral melt
Photo by Professor Chua
chung Nen
This 53 year-old man
underwent bare sclera excision for right pterygium operation 2 years ago.
Mitomycin C was applied to the sclera intraoperatively. He returned with a
painful right eye and examination showed sclera melt with uveal prolapse.
Culture was negative for any groth and the vision was normal. He was treated
with antibiotic and topical steroid and subsequently underwent a sclera
graft. Unfortunately, the graft developed anterior melt 6 months later and
the uveal prolapse recurred. He was otherwise painful.
Right nasal uveal prolapse
post-pterygium operation
Uveal prolapse anterior to the scleral
graft. The prolapse is covered by the conjunctiva.
