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Case Reports
. 1999 Aug;128(2):248-50.
doi: 10.1016/s0002-9394(99)00070-7.

Photic maculopathy after pterygium excision

K O Karp  1 , T P Flood, A L Wilder, R J Epstein
Affiliations
Case Reports

Photic maculopathy after pterygium excision

K O Karp et al. Am J Ophthalmol. 1999 Aug.

Abstract

Purpose: To report a patient who developed photic maculopathy after pterygium removal.

Methods: A 27-year-old woman underwent pterygium removal with a conjunctival autograft after administration of retrobulbar anesthesia. A coaxial operating microscope was used, with an estimated retinal exposure of approximately 40 minutes.

Results: On the first postoperative day, the patient noted a paracentral scotoma. A fluorescein angiogram on the fourth postoperative day documented a phototoxic lesion in the macula.

Conclusions: Phototoxic injury to the macula may occur after pterygium removal. Ophthalmologists should take precautions to minimize prolonged intense coaxial illumination of the retina while performing any ocular microsurgery.

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Comment in

  • Photic maculopathy after pterygium excision.
    Karp KO, Flood TP, Wilder AL, Epstein RJ. Karp KO, et al. Am J Ophthalmol. 2000 Mar;129(3):411. doi: 10.1016/s0002-9394(00)00344-5. Am J Ophthalmol. 2000. PMID: 10755957 No abstract available.

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