A rare complication of pterygium (a case report).
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Biomedical subjects
Publications and source records attributed to C P Thommy.
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In the management of trachomatous cicatricial entropion and trichiasis numerous surgical options are available to the surgeon, who, however, must choose the correct technique suitable to the severity of the condition. In general, severe cases do better with a graft of mucous membrane or skin. In this paper the use of another graft material, homologous sclera, in correcting entropion and trichiasis is discussed. A 1.5 to 2 mm wide strip of fresh or preserved sclera was used as an inlay in a grey-line split technique with severance of pretarsal and Riolan's fibres in 155 entropion corrections in 136 patients. There was a success rate of 92.3% during the observation period of 15 months. Isolated trichiatic lashes were seen in 7.7%. Minor complications occurred, such as granulomas and partial sloughing of grafts, but did not affect the ultimate results.
Cicatricial entropion resulting from trachoma occurs in various grades of severity. No one technique of surgical correction is suitable for all types. The technique has to be modified in accordance with the severity of the condition. A modified technique using skin graft is described, and excellent results (93.8%) in 380 lid corrections with minimal recurrences during a follow-up period of over 2 years are presented.
A case is reported of a young man in whom blunt injury caused a horizontal corneal tear superiorly. Aniridia, aphakia, cyclodialysis with angle recession, minimal hyphaema, vitreous haemorrhage, choroidal rupture and striae, and scleral buckling resulted. Vision improved to 6/12+.
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Filtering procedures for glaucoma in Africans are considered to be failures owing to their propensity for increased fibrosis. However, favourable results from trabeculectomy in African patients with glaucoma are reported. Most of these are from such modifications of technique as non-suturing of flaps, sclerectomy, posterior lip cautery, or administration of high doses of steroids. In this study 95.4% success with a virtual absence of complications is reported from a standard technique of trabeculectomy and no steroids.