Open AccessAcute anterior necrotizing scleritis: A case report
Author(s) -
Yuen Keat Gan,
Syed Shoeb Ahmad,
Sheena Mary Alexander,
Amir Samsudin
Publication year - 2016
Publication title -
journal of acute disease
Language(s) - English
Resource type - Journals
eISSN - 2589-5516
pISSN - 2221-6189
DOI - 10.1016/j.joad.2016.08.015
Subject(s) - medicine , scleritis , sclera , evisceration (ophthalmology) , rheumatoid arthritis , perforation , photophobia , surgery , dermatology , red eye , ophthalmology , pathology , uveitis , materials science , alternative medicine , metallurgy , punching
Necrotizing scleritis is an uncommon but potential disastrous infection to the eye. It is commonly caused by vaso-occlusive autoimmune diseases such as rheumatoid arthritis or surgically-induced, and rarely due to infections. In this article, we presented a rare case of necrotizing scleritis caused by herpes infection in an immunocompromised patient. A 49 years old, retroviral positive gentleman presented to our clinic with a painful, red right eye associated with watering, photophobia and blurring of vision. His right eye rapidly deteriorated leading to an impending perforation of the sclera despite intensive antimicrobial therapy. The patient was started on acyclovir ointment and subsequently improved remarkably salvaging the eye from the need of an evisceration. Although the visual prognosis was poor, structural integrity of the eye was achieved