Tectonic Corneal Grafting After Corneal Perforation due to Pterygium Surgery

Abstract

To report three cases of corneal perforation after pterygium surgery with primary conjunctival closure and intraoperative mitomycin C, and its treatment with corneal grafting. Three patients, who had undergone pterygium excision with primary conjunctival closure and intraoperative mitomycin C elsewhere, were referred to our clinic for corneal perforation. Nasally located corneal perforation was evident in all cases. Corneal grafting was performed to repair the perforation. The grafting was successful in all cases and no complication or need for further treatment was observed. Corneal perforation is a rare complication of pterygium surgery. Tectonic corneal grafting is a reliable and final surgical method for the repair of corneal perforation due to pterygium surgery. (Turk J Ophthalmol 2011; 41: 423-25)

Keywords

• Complication
• corneal grafting
• mitomycin C
• perforation
• pterygium