Author:
Lim Yi Xuan,Teow Kenneth Kheng Leong
Abstract
Background: Pterygium is a wing-shaped fibrovascular tissue overgrowth of the conjunctiva that crosses over the nasal or temporal limbus, or both, and grows onto the corneal surface. We report a case of complications due to the use of cyanoacrylate glue in conjunctival grafting in pterygium surgery.
Case presentation: A 70-year-old Iban woman presented with worsening foreign body sensation in the nasal aspect of the left eye 10 years after undergoing nasal pterygium excision. The foreign body sensation had worsened over the course of 1 year. Upon examination, a greyish foreign body in the nasal aspect of the left eye(acrylate-like material) was noted.
Conclusion: In this case report, we highlight the complications of the usage of cyanoacrylate glue in pterygium surgery and the possible intraoperative complications in this case.
Reference6 articles.
1. Sánchez-Thorin JC, Rocha G, Yelin JB. Meta-analysis on the recurrence rates after bare sclera resection with and without mitomycin C use and conjunctival autograft placement in surgery for primary pterygium. Br J Ophthalmol. 1998 Jun 1;82(6):661-5. https://doi.org/10.1136/bjo.82.6.661
2. Kumar S, Singh R. Pterygium excision and conjunctival autograft: A comparative study of techniques. Oman J Ophthalmol. 2018 May-Aug;11(2):124-128. https://doi.org/10.4103/ojo.OJO_6_2017
3. Damle V. A study to compare conjunctival autografting with sutures and glue free sutureless technique after primary pterygium excision. Int J Sci Study. 2017;5(9):142-7.
4. Panda A, Kumar S, Kumar A, Bansal R, Bhartiya S. Fibrin glue in ophthalmology. Indian J Ophthalmol. 2009 Sep 1;57(5):371-9. https://doi.org/10.4103/0301-4738.55079
5. Nadarajah G, Ratnalingam VH, Mohd, Isa H. Autologous blood versus fibrin glue in pterygium excision with conjunctival autograft surgery. Cornea. 2016 Dec 20;36(4):452-6. https://doi.org/10.1097/ICO.0000000000001106