This 46 year-old man was
concerned about the appearance of his left eye. He gave a history of corneal
trauma sustained 15 years ago. Since then, there had been a
pterygium-liked lesion developing. In the past few year, he noticed the
cornea adjacent to the lesion was getting progressively whiter. Examination
revealed a pterygium-liked lesion extending from the lower pterygium (normal
pterygium extend horizontally from the sun-exposed caruncle area) and the presence of
lipid keratopathy at the edge of the lesion. A simple excision was performed
but the lesion recurred. We planned to re-excise the lesion with a
conjunctival graft. If the lesion were to recur, further surgery may involve
autologous limbal stem cell transplant with concurrent amniotic membrane graft.
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Pseuo-pterygium extending from the
lower lid and lipid keratopathy at the edge of the
lesion due to lipid leakage of the
neovascular membrane. |
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