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Necrotizing scleritis following diode laser trans-scleral cyclophotocoagulation
1Medical and Vision Research Foundations, Sankara Nethralaya, 18, College Road, Chennai, Tamil Nadu, India. drskg@snmail.org
Indian Journal of Ophthalmology
|August 22, 2006
Summary
This case report details necrotizing scleritis, a rare complication after diode cyclo-photocoagulation (CPC) for glaucoma. Prompt systemic steroid treatment led to resolution, highlighting awareness for ophthalmologists.
Area of Science:
- Ophthalmology
- Surgical Complications
Background:
- Diode cyclo-photocoagulation (CPC) is used to manage refractory glaucoma.
- Pseudophakic corneal decompensation with secondary angle closure glaucoma requires effective treatment.
Observation:
- A 64-year-old male developed necrotizing scleritis one month post-CPC.
- The patient had uncontrolled secondary angle closure glaucoma and pseudophakic corneal decompensation.
Findings:
- Trans-scleral diode CPC was performed using a standard diode laser and G-probe.
- Necrotizing scleritis, a rare complication, manifested post-procedure.
- Systemic steroid therapy successfully resolved the scleritis.
Implications:
- Ophthalmologists should be vigilant for necrotizing scleritis after diode CPC.
- This complication, though rare, requires prompt recognition and management.
- Understanding surgically induced complications is crucial for patient safety.
