The Development of Scleromalacia after Regional Conjunctivectomy with the Postoperative Application of Mitomycin C

A 40-year-old woman presented with ocular discomfort in both eyes that had persisted for several months. Six months ago, she had undergone a bilateral nasal and temporal conjunctivectomy using a bare scleral technique followed by a postoperative application of 0.02% mitomycin C (MMC) to treat her ch...

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Bibliographic Details
Published inKorean journal of ophthalmology Vol. 27; no. 3; pp. 208 - 210
Main Authors As An Adjuvant Therapy, Hye Young Shin, Man Soo Kim, Sung Kun Chung
Format Journal Article
LanguageKorean
Published 대한안과학회 05.06.2013
Subjects
Mitomycin C
Regional conjunctivectomy
Scleromalacia
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Summary:A 40-year-old woman presented with ocular discomfort in both eyes that had persisted for several months. Six months ago, she had undergone a bilateral nasal and temporal conjunctivectomy using a bare scleral technique followed by a postoperative application of 0.02% mitomycin C (MMC) to treat her chronic hyperemic conjunctiva for cosmesis. Slit-lamp examination revealed that the patient had bilateral nasal and temporal scleral thinning, and a calcified plaque on her nasal conjunctiva. There was no episcleral tissue present around the wound area, and it was difficult to detect any normal conjunctival tissue in the adjacent area for covering the lesion. We believe that performing an aggressive conjunctival excision procedure followed with MMC application for cosmetic enhancement may be disastrous in certain cases.
Bibliography:The Korean Ophthalmological Society
ISSN:1011-8942