Bandage lens for treatment of corneosclera melting two weeks after pterygium surgery: A case report

INTRODUCTION: Pterygium is a common chronic ocular surface condition in ophthalmology. At present, the main treatment modality is surgical resection. Although the recurrence rate can be controlled to varying degrees, some patients can still develop serious complications, such as scleral melting, corneal melting, and even corneal perforation. We report a case of severe corneal and scleral melting after pterygium surgery treated with a bandage lens. PATIENT INFORMATION: A 60-year-old male who developed corneoscleral melting after pterygium surgery. DIAGNOSIS: This patient was diagnosed with corneoscleral melting. INTERVENTIONS: This patient was treated with a bandage lens and eye drops. OUTCOMES: He was treated with a bandage lens, and the tear break-up time (BUT) was prolonged. After 12 days the cornea and sclera were completely cured and the bandage lens was removed after one month. CONCLUSION: After pterygium surgery, various factors affect the occurrence of serious complications of autolysis. Mainly on ocular parts, such as the cornea and sclera, a bandage lens can stabilize the ocular surface tear film and prolong the tear break-up time (BUT), effectively prevent corneoscleral melting and promote corneoscleral cure.