Surgical induced necrotizing scleritis following intraocular lens replacement.

ABSTRACT:

Purpose

To report a surgical-induced necrotizing scleritis, as well as its medical and surgical management.

Methods

Case-report.

Results

An 88 year-old patient with a three-day severe single-left-eye ocular pain. One-time surgery involving PPV with removal of dislocated intraocular lens and secondary implantation of iris-claw Artisan® lens was performed 6 months earlier. Visual acuity of 20/100. Slit-lamp examination revealed a 5 × 2 mm non-suppurative superior scleral defect. Empirical topical antibiotic treatment with dexamethasone, as well as oral doxycycline was started. Infectious and autoimmune diseases were ruled out. Non-infectious scleritis treatment was conducted with intravenous Methylprednisolone 3 day pulses, followed by weekly tapered Prednisone and intr

SUBMITTER: de Los Martires PG 

PROVIDER: S-EPMC10703746 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature