{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:47:05Z","timestamp":1787068025936,"version":"build-2736575974"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,11,11]]},"abstract":"<jats:p>Corneal perforation associated with dellen is a rare but serious complication of a primary pterygium excision. In this case report, we describe a 60-year-old man who underwent a corneal perforation in the centre of corneal dellen in his right eye and corneal dellen in his left eye after the surgical treatment of a bilateral pterygium with a bare sclera technique without adjunctive therapy. He was successfully treated with lamellar keratoplasty in his right eye and a conservative approach in his left eye, consisting of the use of artificial tears, antibiotic ointment and a patch. The clinical evidence from this brief interventional case report indicates that topical lubricants are proper therapy for corneal dellen. However, if corneal perforation is observed, lamellar keratoplasty is a good option.<\/jats:p>","DOI":"10.1136\/bcr-2015-213319","type":"journal-article","created":{"date-parts":[[2015,11,30]],"date-time":"2015-11-30T14:20:15Z","timestamp":1448893215000},"page":"bcr2015213319","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Dellen and corneal perforation after bilateral pterygium excision in a patient with no risk factors"],"prefix":"10.1136","volume":"2015","author":[{"given":"Ana","family":"Gonz\u00e1lez Gomez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Luis","family":"Gonz\u00e1lez de Gor Crooke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4574-1078","authenticated-orcid":false,"given":"Antonio","family":"Garc\u00eda-Ben","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose Manuel","family":"Garc\u00eda-Campos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,11,30]]},"reference":[{"key":"2025042707442667000_2015.nov30_1.bcr2015213319.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(03)00260-4"},{"key":"2025042707442667000_2015.nov30_1.bcr2015213319.2","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.86.3.357"},{"key":"2025042707442667000_2015.nov30_1.bcr2015213319.3","doi-asserted-by":"publisher","DOI":"10.1097\/00003226-200203000-00022"},{"key":"2025042707442667000_2015.nov30_1.bcr2015213319.4","doi-asserted-by":"publisher","DOI":"10.1007\/BF02124899"},{"key":"2025042707442667000_2015.nov30_1.bcr2015213319.5","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2000.22"},{"key":"2025042707442667000_2015.nov30_1.bcr2015213319.6","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1159\/000362156","article-title":"Corneal and scleral dellen after an uneventful pterygium surgery and a febrile episode","volume":"5","author":"Accorinti","year":"2014","journal-title":"Case Rep Ophthalmol."},{"key":"2025042707442667000_2015.nov30_1.bcr2015213319.7","doi-asserted-by":"publisher","DOI":"10.1097\/00003226-200005000-00011"},{"key":"2025042707442667000_2015.nov30_1.bcr2015213319.8","doi-asserted-by":"crossref","first-page":"146","DOI":"10.3928\/1542-8877-20030301-14","article-title":"Comeoscleral perforation after pterygium excision and intraoperative mitomycin C","volume":"34","author":"Dadeya","year":"2003","journal-title":"Ophthalmic Surg Lasers Imaging"},{"key":"2025042707442667000_2015.nov30_1.bcr2015213319.9","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1097\/00003226-199609000-00015","article-title":"Corneoscleral melt after pterygium surgery using a single intraoperative application of mitomycin-C","volume":"15","author":"Dougherty","year":"1996","journal-title":"Cornea"},{"key":"2025042707442667000_2015.nov30_1.bcr2015213319.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfms.2009.12.004"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-213319","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T10:44:34Z","timestamp":1745750674000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-213319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,11,30]]},"references-count":10,"alternative-id":["10.1136\/bcr-2015-213319"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-213319","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,30]]}}}