Abstract：
BACKGROUND:Beta-radiation has been used since 1950 as a postoperative measure to reduce the recurrence of pterygia. Scleral necrosis has been a major complication after radiotherapy that has led to perforation of the globe, endophthalmitis, and visual loss in some cases. METHOD:A patient is presented in whom scleral necrosis developed 25 days after a pterygiectomy with bare sclera technique followed by 3000 cGy in 3 weekly, divided doses of strontium 90. After a conjunctival graft failure, the patient was treated with hyperbaric oxygen therapy. RESULTS:The sclera revascularized and returned to nearly normal thickness after 14 sessions of hyperbaric oxygen therapy. CONCLUSION:Hyperbaric oxygen therapy may be an effective treatment for acute scleral necrosis after postoperative beta-radiation.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Green MO,Brannen ALdoi
10.1016/s0161-6420(95)30914-1subject
Has Abstractpub_date
1995-07-01 00:00:00pages
1038-41issue
7eissn
0161-6420issn
1549-4713pii
S0161-6420(95)30914-1journal_volume
102pub_type
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