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Atypical pneumococcal scleritis after pterygium excision: case report and literature review
Jayter Silva Paula1, Maria Lúcia Habib Simão, Eduardo Melani Rocha
1School of Medicine of Ribeirão Preto, University of São Paulo, Brazil.
Purpose:
To describe an unusual case of pneumococcal scleritis after pterygium excision and to review the literature on infectious scleritis associated with pterygium excision.
Methods:
Case report and literature review.
Results:
A 58-year-old white man underwent excision of a nasal pterygium of the right eye. Two weeks postoperatively, the patient developed an infectious scleritis caused by Streptococcus pneumoniae. The scleritis was complicated with hypopyon and a scleral necrosis area 6 mm away from the superior limbus with a positive Seidel test. Topical and systemic antibiotics resolved the case without any surgical procedures.
Conclusion:
Streptococcus pneumoniae must be considered as a possible agent in cases of necrotizing scleritis associated with pterygium excision.
