Surgically induced necrotizing scleritis after pterygium surgery

Area of Science:

• Ophthalmology
• Surgical Complications

Background:

• Pterygium surgery, particularly the bare sclera technique, carries potential risks.
• Necrotizing scleritis is a rare but severe inflammatory condition affecting the sclera.

Observation:

• A case of necrotizing scleritis developed post-pterygium surgery using the bare sclera method.
• No adjunctive treatments like irradiation or mitomycin C were employed.

Findings:

• The patient presented with surgically induced necrotizing scleritis.
• Successful treatment was achieved with systemic immunosuppression.

Implications:

• Highlights the importance of recognizing and managing rare complications of common ophthalmic procedures.
• Suggests systemic immunosuppression as a viable treatment for surgically induced necrotizing scleritis.
• Informs surgical technique selection and patient counseling for pterygium excision.