A Severe Case of Infectious Necrotizing Anterior Scleritis Caused by <i>Pseudomonas aeruginosa</i> after Vitreoretinal Surgery.

ABSTRACT:

Introduction

This report describes a case of necrotizing scleritis caused by Pseudomonas aeruginosa infection soon after vitreous surgery, which caused severe scleral melting and rapidly progressive necrosis that led to scleral perforation and bacterial endophthalmitis.

Case presentation

The patient was an 86-year-old man with a history of type 2 diabetes mellitus who underwent pars plana vitrectomy (PPV) for vitreous hemorrhage in his right eye. On postoperative day 10, he complained of severe ocular pain and was found to have conjunctival edema and eyelid swelling, which was treated by topical and general systemic antibiotics. His ocular symptoms improved but subsequently worsened. On postoperative day 25, hypopyon and a fibrinous exudative membrane were observed in

SUBMITTER: Kayazawa M 

PROVIDER: S-EPMC11521538 | biostudies-literature | 2024 Jan-Dec

REPOSITORIES: biostudies-literature