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Case Reports
. 2014 Oct-Dec;21(4):350-3.
doi: 10.4103/0974-9233.142277.

Postoperative necrotizing scleritis: a report of four cases

Sudipta Das  1 , Kumar Saurabh  1 , Jyotrimay Biswas  2
Affiliations
Case Reports

Postoperative necrotizing scleritis: a report of four cases

Sudipta Das et al. Middle East Afr J Ophthalmol. 2014 Oct-Dec.

Abstract

Postoperative necrotizing scleritis should be considered in cases of persistent localized postoperative inflammation following all forms of surgical trauma. We present the history, clinical findings, and follow-up data of four patients with postoperative necrotizing scleritis. The clinical records of four patients who developed scleritis following ocular surgery were retrospectively reviewed. The first step in managing necrotizing scleritis is to rule out infectious etiology. Surgically induced necrotizing scleritis is an immune-mediated condition that can coexist with concomitant infectious condition, i.e. endophthalmitis, but response to immunosuppression leads to resolution of the disease and verifies the diagnosis.

Keywords: Immunosuppression; Necrotizing; Scleritis; Surgery.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Localized episcleral congestion and hypopyon in case 1, (b) Scleral thinning and necrosis at the site of sclerotomy in case 1
Figure 2
Figure 2
(a) Congestion at superonasal sclerotomy site in case 3, (b) Scleral thinning and adjacent corneal scarring in case 3
Figure 3
Figure 3
Localized staphyloma at two months follow up in case 4
See this image and copyright information in PMC

References

    1. Lyne AJ, Lloyd-Jones D. Necrotizing scleritis after ocular surgery. Trans Ophthalmol Soc U K. 1979;99:146–9. - PubMed
    1. Arentsen JJ, Christiansen JM, Maumenee AE. Marginal ulceration after intracapsular cataract extraction. Am J Ophthalmol. 1976;81:194–7. - PubMed
    1. Bloomfield SE, Becker CG, Christian CL, Nauheim JS. Bilateral necrotising scieritis with marginal corneal ulceration after cataract surgery in a patient with vasculitis. Br J Ophthalmol. 1980;64:170–4. - PMC - PubMed
    1. Salamon SM, Mondino BJ, Zaidman GW. Peripheral corneal ulcers, conjunctival ulcers, and scleritis after cataract surgery. Am Jr Ophthalmol. 1982;93:334–7. - PubMed
    1. O’Donoghue E, Lightman S, Tuft S, Watson P. Surgically induced necrotizing sclerokeratitis (SINS)- precipitating factors and response to treatment. Br J Ophthalmol. 1992;76:17–21. - PMC - PubMed

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