A 78-year-old woman complained of ocular pain in the right eye. Thirty-three months before, the patient had a pterygium excised and mitomycin C, 0.04%, was instilled 3 times a day postoperatively for 10 days in the right eye. The same surgery was performed and the same drug was used for a course of 5 days in the left eye. Corneoscleral ulceration and corneal perforation occurred in the right eye. The lesions were successfully treated with a lamellar patch graft with reserved corneosclera. We believe that it may not be safe to instill 0.04% mitomycin C 3 times a day postoperatively for 10 days.

A 61-year-old woman had proptosis, pulsation of the globe, orbital bruit and epibulbar congestion in the left eye. The cavernous sinus appeared enlarged by computed tomography. No trauma was noted. Despite the lack of carotid angiographic findings, the patient was diagnosed as having spontaneous carotid cavernous fistula. No surgery was performed. At the age of 67 years, the patient complained of pain in the left eye. Acute angle-closure glaucoma, choroidal detachment and exudative retinal detachment were concurrently found in the left eye. An ocular pulse on the tonography reading in the left eye was larger than in the right eye. Concurrent acute angle-closure glaucoma choroidal detachment and exudative retinal detachment with carotid cavernous fistula, as found in our patient, may be rare.

No abstract