Open AccessPostoperative necrotizing scleritis: A report of four cases
Author(s) -
Sudipta Sekhar Das,
Kumar Saurabh,
Jyothirmay Biswas
Publication year - 2014
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/0974-9233.142277
Subject(s) - medicine , scleritis , etiology , concomitant , immunosuppression , surgery , medical record , infectious disease (medical specialty) , disease , dermatology , ophthalmology , pathology , uveitis
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.