The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, 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.

 

Close-up views of the melt and prolapse.

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