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Case Reports
. 2022 Jul 31;37(4):e399.
doi: 10.5001/omj.2022.16. eCollection 2022 Jul.

Bilateral Surgically Induced Necrotizing Scleritis After Pterygium Excision with Conjunctival Autograft: A Case Report

Hamzeh Mohammad Alrawashdeh  1 , Omar Al-Habahbeh  1
Affiliations
Case Reports

Bilateral Surgically Induced Necrotizing Scleritis After Pterygium Excision with Conjunctival Autograft: A Case Report

Hamzeh Mohammad Alrawashdeh et al. Oman Med J. .

Abstract

Surgically induced necrotizing scleritis (SINS) is an immune-mediated condition that rarely occurs after ocular surgeries with a latency period of days to years. We present a case of a 49-year-old man who developed bilateral SINS two weeks after uneventful bilateral pterygium excision with conjunctival autografts. He was managed with a course of oral prednisolone, topical antibiotic ointment, topical non-steroidal anti-inflammatory drugs and lubricants, and close follow-up and rheumatological consultation.

Keywords: Autografts; Pterygium; Scleritis.

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Figures

Figure 1
Figure 1
(a) Two weeks after the surgery. Shows bilateral melted conjunctival graft, melted nasal sclera with loss of vascularization (ischemia), and severe conjunctival hyperemia nasally. (b) Four days after the initiation of treatment.
Figure 2
Figure 2
(a) Two weeks after the initiation of treatment shows healed and revascularized scleral bed in both eyes. (b) Four weeks after the initiation of treatment.
Figure 3
Figure 3
Eighteen months from the onset of surgically induced necrotizing scleritis shows complete healing in both eyes.
See this image and copyright information in PMC

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