Scleral thinning after eye-whitening surgery

  • Takeshi Ide Minamiaoyama Eye Clinic, Tokyo, Japan
  • Yoshiyuki Ichihashi
  • Ikuko Toda
  • Teruki Fukumoto
  • Kazuo Tsubota
Keywords: eye-whitening surgery, MMC, mitomycin C, scleral melt, sclera, conjunctiva


We report the case of a 32-year-old male patient who presented with conjunctival redness after multiple bilateral eye-whitening surgeries. Slit-lamp examination revealed scleral melting, avascular areas, and demarcation lines in both eyes. Considering the treatment history and the clinical findings of the patient, we conclude that the removal of the conjunctiva and Tenon’s layer and use of mitomycin C is not desirable for a healthy ocular surface.

Author Biography

Takeshi Ide, Minamiaoyama Eye Clinic, Tokyo, Japan

1999 Osaka University, Japan (MD)

1999-2000 Osaka University Hospital(Resident)

2000-2002 Osaka Police Hospital(Staff)

2002-2006 Osaka University,Japan(PhD)

2005-2008 Bascom Palmer Eye Institute, University of Miami, USA(Research Fellow)

2009-Present Minamiaoyama Eye Clinic, Tokyo, Japan(Vice Chair)

How to Cite
Ide, T., Ichihashi, Y., Toda, I., Fukumoto, T., & Tsubota, K. (2015). Scleral thinning after eye-whitening surgery. Asian Journal of Ophthalmology, 14(2), 68-72.
Case Reports/Case Series