PMC5422750_01
Scleral melting 1 month after pterygium surgery.
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F1
At this time, slit-lamp examination demonstrated an epithelial defect with focal thinning and whitening of the conjunctival flap and sclera underneath associated with hyperemia and sentinel vessels surrounding the area (Fig. 1).
Amniotic membrane graft in place secured with absorbable sutures.
cop-0008-0195-g02.jpg
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F2
AM was placed over the scleral melting in a sandwich technique, with 2 layers placed with stromal side down, and another one with epithelium facing down. AM was secured with 8/0 absorbable sutures (Fig. 2).
Three weeks following amniotic membrane (AM) graft: complete AM integration and local inflammation resolved.
cop-0008-0195-g03.jpg
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F3
In week 3 there was complete integration of the AM, with no epithelial defect or signs of active inflammation (Fig. 3).