Bacterial corneoscleritis complicating pterygium excision

Am J Ophthalmol. 1989 May 15;107(5):515-7. doi: 10.1016/0002-9394(89)90496-0.

Abstract

Pterygium excision was complicated by bacterial corneoscleritis and endophthalmitis in two patients, one who had received postoperative beta irradiation and the other topical thiotepa. These complications followed surgery by two and six weeks. Causative organisms were Streptococcus pneumoniae and Pseudomonas aeruginosa, respectively. Despite aggressive therapy, visual outcome was poor in both cases. These cases demonstrate that, although infrequent, complications of pterygium excision can be destructive and visually disabling.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Beta Particles / therapeutic use
  • Combined Modality Therapy
  • Endophthalmitis / etiology
  • Endophthalmitis / pathology
  • Female
  • Humans
  • Keratitis / etiology*
  • Keratitis / pathology
  • Pneumococcal Infections / etiology*
  • Pneumococcal Infections / pathology
  • Postoperative Care
  • Pseudomonas Infections / etiology*
  • Pseudomonas Infections / pathology
  • Pterygium / complications*
  • Pterygium / surgery
  • Scleritis / etiology*
  • Scleritis / pathology
  • Surgical Wound Infection / etiology*
  • Surgical Wound Infection / pathology
  • Thiotepa / therapeutic use

Substances

  • Thiotepa