Dr.Vishal Kumar

Dr. Namrata Sharma, Dr.Prafulla Kumar Maharana

Abstract

Purpose: To report a case of surgically induced necrotising scleritis after pterygium surgery managed with a scleral patch graft.
Study design: Interventional case report.
Methods: 53-year-old man presented with redness and pain in his left eye for the last 1 year. On examination focal thinning of the nasal sclera with uveal tissue prolapse was noted in the left eye. He underwent pterygium excision with a conjunctival autograft at another facility 15 years ago. Proper systemic and rheumatological workup was done and it was within normal limits. The patient was diagnosed with surgically induced necrotising scleritis(SINS). He was started on oral corticosteroids and was planned for scleral patch grafting due to severe scleral thinning.
Results: The scleral patch graft was well apposed and taken well by the host tissue and the patient's sclera was stable. The best corrected visual acuity of 6/9 was maintained after surgery.
Conclusions: SINS can be managed successfully with patch graft.