Posters

Pterygium in corneal graft: how to act?

Poster Details

First Author: Y.Akannour MOROCCO

Co Author(s): H. Tazi   W. Belaydi   T. Bouzoubaa   E. Abdallah   A. Berraho        

Abstract Details

Purpose:

What is the appropriate management in front of pterygium in corneal graft to avoid graft rejection ?

Setting:

ophtalmology B service at the hospital of specialities of Rabat

Methods:

We report the case of 41 years old male, who had undergone bilateral penetrating keratoplasty for keratoconus. Post operatively he had  done well without evidence of any complication, 8 years later he developed a pterygium on his left eye, the head of the pterygium infringes on the graft’s host junction without reactive vascularization. after local anesthesia the pterygium with subconjunctival fibrovascular tissue is removed, the area of corneal scare is smoothed and denuded, bipolar cautery is used as needed to maintain hemostasis, sclera is covered with a sheet of amniotic membrane.

Results:

Post operatively the patient received a single intravenous injection of methylprednisolone, he was prescribed topical steroid 6 times a day taped over one month and artificial tears, he  was also advised to use a hat and sun glasses in areas of sun exposure a complete healing was noticed after two weeks No rejection reaction no recurrence was observed with 6 months follow up.

Conclusions:

The management of this exceptional association of pterygium and corneal graft is challenging and the procedure perform should minimize the risk of graft rejection and pterygium recurrence.

Financial Disclosure:

None