• Tao Gao, Xiaojing Fan, Yaying Wu, and Xiuming Jin.
• Eye Center, The Second Affiliated Hospital of Zhejiang University School of Medicine, 88 Jiefang Road, Hangzhou, China.
• Medicine (Baltimore). 2021 Apr 9; 100 (14): e25348e25348.

IntroductionPterygium 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 InformationA 60-year-old male who developed corneoscleral melting after pterygium surgery.DiagnosisThis patient was diagnosed with corneoscleral melting.InterventionsThis patient was treated with a bandage lens and eye drops.OutcomesHe 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.ConclusionAfter 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.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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