Subconjunctival fibrosis after conjunctival autograft

Cornea. 1993 Mar;12(2):181-3. doi: 10.1097/00003226-199303000-00016.


While largely successful, the use of a conjunctival autograft in the exposed scleral bed following a pterygium excision can result in postoperative complications. We report two cases of a previously undescribed complication: subconjunctival fibrosis at the harvest site of the graft. In one case, the fibrosis caused an asymptomatic, purely cosmetic defect; however, in the other case, the scar tissue constricted the extraocular movement with resultant diplopia. We call attention to this complication as it can affect visual function; we discuss its management and prevention.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Conjunctiva / pathology*
  • Conjunctiva / transplantation*
  • Fibrosis / etiology
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications
  • Pterygium / surgery
  • Transplantation, Autologous / adverse effects