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Repair of necrotizing scleritis in ulcerative colitis with processed pericardium and a Prokera amniotic membrane
1Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, NY 11203, USA. douglas.lazzaro@downstate.edu
Objectives:
To demonstrate an unusual case of necrotizing scleritis in ulcerative colitis successfully managed by a combination of a Prokera implant and processed pericardium.
Methods:
A case report of a novel approach to treat scleral melts that may be seen in several clinical situations.
Results:
The dual use of amniotic membrane material (Prokera) with processed tuttoplast for necrotizing scleritis salvaged the eye without the need for enucleation while also preserving most of the vision.
Conclusions:
Consideration of the combined method discussed in this article should be considered in the treatment of severe scleromalacia seen in inflammatory cases of the eye.
